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` 111111 1111111 111111• ~# ~~$ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: 1303) 866-3567 <br />FAX: (303)832-8106 <br />aARD Roca/METAL Mtrrss <br />RECEIVED <br />APR 0 5 1999 <br />lion of Minerals & ~9Y <br />~~~~ <br />N TURA~L <br />RESOURCES <br />LIlIITED Il~ACT OPERATION 110 (2) ) Roy Romer <br />RECLAMATION PERMIT APPLICATION FORM Governor <br />lames S. Lochhead <br />Executive Dire[tor <br />Michael B. long <br />Division Diretlor <br />CHECK ONE: ~ New Application (Rule 1.4) ~ Conversion Application (Rule 1.11) <br />Permit # M- - - - (provide for Conversions of existing permits) <br />The application for a Limited Impact (110(2)) Mining Operation Reclamation Permit contains three <br />major parts: (1) the application form; (2) Exhibits A-J, Addendum 1, any sections of Exhibit S <br />and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules 6.1, 6.2, <br />6.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your application, be sure to <br />include one (1) sinned and notarized Grev Original and one (1) copy of the application form, two <br />(2) copies of 8xhibits A-J, appropriate sections of 6.4.19 (Exhibit S), and 6.5 (Geotechnical <br />Stability Exhibit), as required, and a check foz the application fee described under (4) below. <br />Exhibits should NOT be bound or in 3-ring binders; maps should be folded to 8 1/2" X 17." or <br />8 1/2" X 14" size. To expedite processing, please provide the information in the format and order <br />described in this form. <br />-S 3 <br />GF'~'AaT• OPERATION INFORMATION ~ -C~C~ - 11yO~ <br />Type or print clearly, in the space provided, all information deacribVVed below. <br />1. Avalicaat/operator or comDaav name (acme to be used on vermit): <br />Avalanche Creek Marble & Alabaster LLC <br />1.1 Type of organization (corporation, partnership, etc.): corporation <br />1.2 I.R.S. Tax ID No. or Social Security Number: 64-1460906 <br />2. Operation name (nit, mine or site name): White Banks D1ine <br />3. Permitted acreage: <br />3.5 permitted acres <br />4. Fees• <br />4.1 New Application 5875.00 application fee <br />4.2 Conversion Fee (from 11od to 110(2), Rule 1.11.2(2)) 5875.00 application fee <br />5. Primary commodities to be mined: alabaster marble quartzite <br />6. Name of owner of the subsurface rights of affected land <br />7. Name of owner of the surface of affected laced: <br />United States <br />United States <br />a. Names of the holders of any recorded easements on the affected land: <br />none known <br />8. Tvae of mining operation: Surface _~ Underground In-situ <br />