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Ali( <br /> . COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br /> 1313 Sherman Street,Room 215,Denver,Colorado 80203 Phone(303)866-3567 <br /> �r+e��. D <br /> TECHNICAL REVISION (TR) APPLICATION SEP 0 6 2017 <br /> FOR INTERMITTENT STATUS <br /> (mining activities occur each year, for less than 180 days eac%ear) OF fZECLAMATIOI <br /> WWA* <br /> Today s date. <br /> 9/5/2017 WErr <br /> Permit number: M- 1977-361 Site name: CEMEX San Sto <br /> County: Boulder TR numb r: OT6 D S use onl <br /> Permittee making request:CEMEX, INC. <br /> Operator(if other than permittee): <br /> Date intermittent status begins: September 5, 2017 <br /> Reason mining activities (materials extraction, processing, or hauling)will occur less than 180 days per year: <br /> It is only necessary to mine for several weeks each year to <br /> produce an adequate quantity of materials for the year. <br /> Number of affected acres.9.9 <br /> Amount of financial warranty(bond)on deposit with the state: $409,366 <br /> Required fees for technical revision by permit type(please mark the correct fee and submit it with this <br /> request for a technical revision): <br /> Permit type Required TR fee Submitted (mark only one) <br /> I IOc, 111, 112 construction <br /> materials, and 112 quarries $216 ❑✓ <br /> 112 hard rock(not DMO) $175 ❑ <br /> 1 IOd, 112d(1, 2 or 3) $1,006 ❑ <br /> I request intermittent status for the ab -referenced permit. This site has reserves <br /> remaining to be mined. Mining activ tie will occur each year for less than 180 days per <br /> year. <br /> Operator's signature: 44 <br /> Please note: <br /> 1. While in intermittent status, the operator must continue to comply with the Rules and Act, including <br /> maintaining the site, and must continue to file an annual report and annual fee when due. <br /> 2. If production ceases for 180 days or more,the operator must either file a Notice of Temporary <br /> Cessation, or reclaim the site. <br />