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. /1~ ~a o s - a ~,/~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Departrnent of Natural Resources <br />1313 Sherman St., Room zt s C O L D RAD O <br />Denver, Colorado 80203 DIVISION O E <br />Phone: (303) 8663567 CONSTBIICTION MATERIAIS II '' ° ~ ~ -- M I N E~ RA L S <br />FAX: (303) 832-8106 F•^^ J J L',.~J <br />/ REGIII.AR (112) OPERATION G E O L O G Y <br />"REt'E•AIKATIONPERMITAPPLICATIONFOBIVI°If^n~l~l~,8f~(0.F'`~^In 0.ECLAMATION•NININO <br />SAFETY•SCIENCE <br />Bill Owens <br />CHECK ONE: There is a File Number Already Assigned to this Operation covemor <br />Russell George <br />Pemtit # M -_ _ _ (Please reference the file number currently assigned to this operation) Executive Direaar <br />New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) Ronald w. Cattany <br />Division Director <br />_ Converaion Application (Rule 1.11) Natural Resource Trustee <br />Permit#_ i~-= =(providef~AmendmentsandC~venlonsofelds6nBP~~) <br />The application for a Canstructicn Materials Regular 112 Operation ReclamationPermit contains three majm~paAs: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, a~ sections of Exhibit 6.5 (Geoteclutical Stability Exhibit; end (3) the applicationfce. Whenyou strbmityour <br />application, be sure to include one (1) complete signed end notmi2ed ORIGINAL and one (1) copy of the twmpleted applicaticnfoml,two (2) <br />copies ofExlnbits A-S, Addendmn 1, appropriate sections of 6.5 (Geateclmical Stability Exlnbit, and a check for the epplicati~fee desmbed <br />tinder Section (4) below. Exhibits should i~OT,be bound or in a 3-titlgbinder, maps shouldbe folded to 8 1!2" X 1 I"or 81/2" X 14" site. To <br />~P~ Processing, Please provide the information in the format and order described in this form <br />GENERAL OP]~tATION INFORMATION <br />Type or print clearly, in the apace provided, ALL information requested below. <br />01 uS~ S ropA T.wc. w <br />1. Aonlicant/ouerator or comoanvname (name to be used on nermitl: U ~; •• ed CBMP a. ~ i r o F Mt sa Coan~ <br />1.1 Type of organization (corporation,Parlnership,etc.)Q CorPOro.}.~on , <br />1.2 IRS. Talc I.D. No. of Social Security Number: QO y - ~ y 4 `~ 5 36 <br />2. Oceration name foil, mine or site namel: !~ ragCrSOn P.~- <br />3. Permitted ureane (new or eslstine site): l S ~ . "(s permitted antes <br />3.1 Change in acaeage (+) ~ saes <br />3.2 Total etxeage in Permit area I S 9 , 76 acres <br />4. <br />4.1 New Application $2.344.00 application fee <br />4.2 New Quarry Application $2.906.00 quarry application <br />4.4 Amendtrlent Fce $1.938.00 amendment fce <br />4.5 Com~etsioa to 112 operation (set by statute) $2.344.00 conversion fee <br />5. I?rlm arv commodilietal to 6e mined: S o ~irq Vt <br />5.1 . Incidental commoditie(s) to be mined: 1. - 1bslfons/y~ 2. / Ib s/fons/yr <br /> 3. / ]bs/I'anslvr 4. / Ibs/fons/yL 5. / Ib s/Tons/yr <br /> R ~ <br />5.2 oad <br />tuaticipatedenduseofprimarycommoditie(s)tobemined: dart a..d Cnns P~e~+bn <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: nlonf - <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />