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erit by: EARTH/STONE LTD. 975183 05/05/97 tO~AM Job 202 Page 3/3 <br />T r~/ <br />_ STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY ' <br />Depart menl of Natural Resources ~~~~~„~~,~f.-i ,' k"~~~' <br />~^ <br />I J 13 $hermdn $1., Rppm :l j <br />Uenvcr. ColoraAo 80:03 qty , <br />Fhone. f303186G-3561 /1~ IL ~ ~ ,~y~, <br />F 4 x~ f 10h 83?-ti l '16 DEP.AFTh1EN'T O. <br />coxsTRUCTIOx xATE>~~~n of M)nl)r{~~h n uuui~~; NATL?]Z.~1 <br />LIMITED Il~AGT oPeRATIOx (ilo) RESOI,RCE'> <br />RE~'w*TION PERMIT APPLICATION PORN K ,h' ~ --~~__..___ <br />, .r,. .. <br />t.~.~..~ r.. <br />:a ~<nar~ r. ... <br />U...no. i ~.~, ., <br />CHECK ONE: ~ New Application (Rule 1.4) Atertdaeat Application (C. R.S. 34-32.5-110, <br />Cony//e~~r~~sion Application (Rule ]-11) <br />Permit / ~LT•,! -~~--_ {Provide for Amendments ~ ,d Convcrsioun ~~1 <br />7T~1~ existing permits) <br />The application for a Construction Materials Limited Impact Hining (110) Operation Reclamai.ior, <br />Permit contain:: three major parts: (1) the application form; (2) Exhibits A-J and Exhibit L, <br />Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the• <br />office, and outlined in Rules 6.1, 6.2, 6.3, and 6. 5; and (3) the application fee. [then yov <br />submit your application, be sure to include one (1) complete sinned and notarized IVORY ORIGINAL <br />and one (1) copy of the completed ivory application form, two (2) copies of Exhibits A-J and <br />Exhibit L, appropriate sections of 6.5 (Ceotechnical Stability Exhibit), as required, and a check <br />for the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring <br />binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite pro res9.i n9, <br />please provide the information in the format and order described in th's fo <br />---------____-__~----------------------------------------- -------~ ~~---- 1-== ~ ~-~ - <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below- <br />1. Applicant/operator or company name (name to be used on nermitl• <br />i`)OOn CC3Ue Partners llo <br />1.: of or anizat ion co ration, rtnershi it `''•' ` ~ '~ ~ '- <br />TYPE' 4 { rPo Pa P, etc.): ----- <br />1.2 I.R.'i. Tax ID No. or Social Security Number: ~ Q 7 "' T 6 " ~ S-~~_______ <br />2. Operation name (pit, mine or site name): '~`'r'~l"'``~f~"~ <br />3. Permitted acreage (new or existing site): -•7 ,_ permitted acre_- <br />3.1 Change in acreage (+ or -) acres <br /> Total Acreage in Permit Area acres <br /> <br />4. E'ees- <br />4.1 Nev Applicai ion 5875.00 application fern <br /> Amendment Fee {C.R.S. 34-32.5-125(II)) 5575.00 application fee <br />4.2 Conversion Fee (from 110d to 110 5875.00 conversion fee (Rule 1.11.2(2)) <br />..- Primary commoditie(s) to be mined: ~'•`1'"~) ''av ~' i -' I <br />5.1 Incidental commoditie(s) to be mined: 1. __ - lbs/Tons/vr <br /> ~. / lbs/Tons/Vr 3. r 1bs/Tons/vr <br /> 4. / 1bs/Tonslvr 5. / Lbs/Tons!vr <br />S. Anticipated end use of primary commoditie(s) to be mined: F'! ~%:: !: n.<r•%••___-._,,.__ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: _.. . <br />