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• <br />EXHIBIT R -PROOF OF FILING WITH COUNTY CLERK AND RECORDER <br />A copy of the receipt for the filing with the County Clerk and Recorder is attached below. <br /> <br />~,A~ Ular~ ~, t.~..r ~aaAd <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmrrn of N,Imral Resources ' <br />131 Sherman 51., Room ? 1 i <br />Denver, Colorado H0203 <br />Ahunr: 17031866-35h: <br />FAX: 1.1031 H32~8106 <br />STATE ~F COLORADO <br />;:--! .,,~.,~ x,1.1 o•~n <br />~.-. - DIVISION OF <br />CONSTRUCTION MATERIALS <br />REGULAR (] 12) OPERATION <br />GEOLOGY <br />RECLA HA TION <br />MI NING•SAFETY <br />RECLAMATION PERMIT APPLICATION FORM eau Owens <br />Governor <br />Greq ~. Walther <br />Executive Orreclcr <br />pp ( _ Amendment A ( ~,ICnael 8. Lonq <br />CHECK ONE: X New A lication Rule I.4.5) pplicazion Rule I.10b,,,;,;an D„~,o, <br />Conversion Application (Rule 1.11) <br />Permit ~ V1 -_ _ (provide for l.mendmenb and Conversions of existing permits) <br />The application fora Construction Materials Regular 112 Operarion Reclamation Permit contains three major parrs: (I) the application form; <br />(2) Extubits A-S, Addendum 1, arty sections ofExhibit 6~ (Geotechnical Stability Exhibit; and (3) the applicarion fee. When you submit your <br />application, be sttre to include one (1) comQlete siated and notarized IVORY ORIGINAL and four (4) copies of the completed iv~orv <br />application form, five (5) copies of Exhibits A-5, Addendtu 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the applicaticn fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 1/2" X I t" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />ApoticanVorreratororcomoanvname(nametobeusedoooermit): A99regdte Industries, Inc. <br />1.1 Type oforgattiution(corporation,pazmership,etc.): Corporation <br />11 [.RS. Tax I.D. No. or Social Security Number: <br />2. Ooeratioo acme (nit. mine or site oamel: Mi 11 i ken Site <br />AGGREGATE INDUSTRIES, INC. -- MILLIKEN RESOURCE 112 PERMIT PAGE 55 <br />