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i <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: (303)866-3567 <br />FAX: (303)832-8106 <br />RECEIVED <br />AUG 2 4 1999 <br />~~ <br />DEPARTMENT OF <br />~5~ S <br />coxsTRUCrxoN MATHRTnT:~&On of Minerab 8 Ge0)o9Y <br />REGOLAR (112) OPERATION <br />iATION PERMIT APPLICATION FORM <br />CHECK ONE: ~ New Application (Rule 1.4.5) <br />' Conversion Application (Rule 1.11) <br />Roy Romer <br />Governor <br />Tames S. Lachhead <br />Ezecuuve Director <br />Michael B. Long <br />Division Director <br />Amendment Application (Rule 1.10) <br />Permit # _- - -_ (provide for Amendments and Conversions of <br />existing permits) <br />'The application for a Construction Materials Regular 112 Operation Reclamation Permit contains <br />three major parts: (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of <br />Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />(application, be sure to include one (1) complete sinned and notarized IVORY ORIGINAL and four (4) <br />copies of the completed Ivy application form, five (5) copies of Exhibits A-S, Addendum 1, <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee <br />described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps <br />,should be folded to B 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide <br />the information in the format and order described in this form. <br />------------------------------- --- ---------------------------------- ------------- ------ <br />' GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />Applicant/operator or company name (same to be used on permit)• <br />CAMAS Cnlnradn. Tnc. <br />1.1 Type of organization (corporation, partnership, etc.):Arl Indiana Corporation <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: 04-040340 <br />2. operation name (pit, mine or site name): Cooley Reservoir and fulton i9ildlife Area <br />Permitted acreaoe (new or existing site): _'24Q permitted acres <br />- <br /> 3.1 Change in acreage (+ or -) acres <br /> 3.2 Total acreage in Permit area -349 acres <br /> Fees: <br /> 4.1 New Application 51,875.00 application fee <br /> 4.2 New Quarry Application 52,325.00 quarry application <br /> 4.3 Milling Application (Non-DMO) 53,100.00 milling application <br /> 4.4 Amendment Fee 51,550.00 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) S1,875.00 conversion fee <br /> Primar y commoditie(s) to be mined: Sand Gravel <br /> <br /> S.1 Incidental commoditie(s) to be mined: 1. OvarhltrdP m300,000 %~/Tons/yr <br /> 2. Gold / l2 lbs/'P~La/vr 3. / lbs/Tons/yr <br /> 4. / lbs/Tons/vr 5. / 1bs/Tons/vr <br />r 5.2 Anticipated end use of primary commoditie(s) to be mined:Asahalt ~ Concrete ProduCtiO. <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: <br /> Overburden - Onsite reclamation/Offsite clean fill ~ Borrow material <br />' Gold - Sales to specialized Contractor <br />