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r~ ~_ ` • , <br />~~~s-'~' <br />~Tt~T~t OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGFf <br />Ueparlmem of Natural Re>ources <br />1713 Sherman 51., Room 215 <br />Denver, Colorado 80203 <br />Phone 13031 866-3567 <br />FAX: 1303)832-8106 <br />RECEIVED <br />MAR z i 2000 <br />Division of Minerals & Geology <br />CONSTRUCTION MATERIALS <br />LIMITED IMPACT (110) OPERATION <br />LOO <br />~pR 1 L &Gep`AgY <br />Ot~`~iO~~,M\~ta~ <br />DIVISION OF <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAFETY <br />ell Owens <br />Governor <br />Greg E. Walche~ <br />RECLAMATION PERMIT APPLICATION FORM Executive Dnector <br />Michael B. Long <br />Division Director <br />CHECK ONE: ~ New Application (Rule I.4) Conversion Application (Rule 1.1 I ) <br />Amend,~m~etnt Application (C.R.S. 34-32.5-110) <br />Permit # M f W ~3~ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (1 ] 0) Operation Reclamation Permit contains three major parts: (1) the application forth; <br />(2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibh 6.5 and Geotechnical Stability Exhibit, az required by the Office, and outlined in Rules <br />6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be sure to include one (1) complete sieved and <br />notarized IVORV ORIGINAL and one (I) copy ofthe completed Ivy application form, two (2) copies of Exhibits A-J, Exhibit L, Addendum 1, and <br />appropriaze sections of 6.5 (Geotechnical Stability Exhibit), az required, and a check for the application fee described under (4) below. Exhibits should <br />NOT be bound or in a 3-ring binder, maps should be folded to 8 12" X 11" or 8 12" X 14" size. To expedite processing, pleaze provide the information <br />in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, is the space provided, ALL information described below. <br />1. Aonlicant/ooentor or comQaovname (name to be used on permit): DU..N UR I r,1DU`~"f 2 I E S ~~ L. <br />l .l Type of organization (corporation, partnership, etc.): C .t] it-Po R A -~: o ~ <br />1.2 LR.S. Tax [D No. or Social Security Number: ~ 115 ~ 1 (o ~ <br />2. Ooerationname(oit-mine orskenamel: M~ I<E,nllJA- LIFAESIItlAIE Q~JA0..fUY ^ <br />~M M <br />3. Petvtitted acreage (new or existin¢ site): ~9_p ermined acres <br />3.1 Change in acreage (+) ~hQ9.$ecres ~'"'~ <br />Total Acreage in Permit Area Tt49.8acres ~"'~ <br />4. Fees <br />4.1 New Application: $875.00 application fee <br /> Amendment Fee (C.R.S. 34-32.5-125(11)): $575.00 application (ee <br />4.2 Conversion Fee (from I I Od to 110 875.00 conversion fee (Rule 1.11.2(2)) <br />lay/ <br />5. Primary commoditie(s) to be mined: GiinE 5 (-arE Zo 1o`rS h• /~- L/gLE 5~ y+t- <br />5.1 ]ncidentalcommoditie(s)tobemined: 1. ~~I•~ bs/fons/vr 2. /~'Ibs/fons/vr 3. / Ibslfons/vr <br /> 4. / Ibs/fons/vr 5. / Ibslfons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: R% P 2AV ~ Ed0`i;oN CON/ro(,~ MME D/A,nv~t STAIi:LZf~I;o~ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: g ILOA b $A5E /L rx,lL . RE~.fNATbf So.L <br />