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~~ 2 0 07-~ 0 3 $ <br />J <br />STATE OF <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />U73 Shannon a, Room 21 s C O LO RA D O <br />Denver Colmrado 80203 O I V t S I O N O F <br />ahane: (303) 8aG3 [~/'~ CONSTRIICTTON 1NATERiALS MINERAL 5 <br />FA%: 1303) 83xA1~ L..O.i ~ ~, /~® REGULAR (112) OPERATTON G E O L O G Y <br />II4[LLNrTIO W NIMIMO <br />INJUN 19200]CLAIYtATIONPERMITAPPLICATTONIFORM s..L.,•LaLNeL <br />adioNeaL <br />Division of Keadalanon, ~~, <br />CHECK ONF.: _~ylnti FYtft[f)Fmher Already Ant6nM to this Operstioq Rm,NI ~~ <br />Permit # M -~ ~ _ (Please reference the file number cmrrntly assigned to this operation) Fs'°16''• °I'L'11Of <br />Nesv Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) R~~w~ry <br />_ Conversbn Application (Rule 3.11) Nataral Re°""m comae <br />Permit # M -^ ~ _ (provide for Amendments and Conveniogs of e)dsting permits) <br /> <br /> <br />The application for a Construction Materials Regular 112 OperationReclatttetion Permit cotueina three major parts: (1) the application form; <br />(2) Exhibits A-S, Addeldtml 1, arty aections of Exhibit 6.5 ((swtcehrdce{ Stabdity Exhibit; anJ (3) the application fce. When you submil}rnu <br />application, be sure to include Drat (I) complete sietal and notattized ORIGINAL ~d one {i) copy of the completed application form, two {2) <br />tapirs ofExhibits A-$, Addendmn 1, appropriate sections of 6.S (Geotehttical Stability Exhibit, and a cheek fa the application fee describe! <br />under Section (4)tselow. F.~dsibits should O' be karmd or ina3-ring binJer; maps should be folded to$ 12"X 11'ar812•X 14'size. 'fo <br />expelite pn>Gessing, please provide the information in the fomsat and order described in this form <br />GENERAL OPERATION INIFORMATION <br />Type or print ckarly, iq the apace provided, AEI information requeatad helox. <br />1. Apglkar fooerator or camgaov name (name to be used on pernsitl: <br />I.l Type of organization (corporotiom, partnership, etc.): C Jb. <br />2. ~~Otxr atbnnamr(ok.mineorsitegame): jSfHS /VO/L'/1~1 <br />3. Permkted acteaae lnely or ezistinP ske): ~ °J. permitted aQCs <br /> 3. ] Change in eaeage (+) acres <br /> 3.2 Total axcage m Permit area ~~_ acres <br />4. Fee": <br /> 4.1 New Application $2344 tXl application fce <br /> 4.2 New Quarty Application $2.906.00 quarty epplicNion <br /> 4.4 AmeOdmeat Foe $1.938.00_ amendment fee <br /> 4S stalWe <br />) <br />Conversion 10112 operation {sal by $2.344.00 conversion fce <br />$. Prim __ <br />~/ <br />_/~ <br />ary mmmod#kfe) !o be mieed: ~ <br /> S.1 laa~tdenlel cLSmma&ne(s) to be raltned; I. Ibsfl'oac/vr 2. ! 1bs11'onshr <br /> 3. / lt,slfoosA4• 4. / lbslfonsly2 5. / Ibs?ons/vr <br /> <br />5.2 <br />Anticipated end use of primary commoditie(s) to be mined: COUn'fN 1202 C ,1 <br />n n < ~Igg w n.Arn l2nah <br /> 5.3 Anticipated end use of irx;idental commoditie(s) to be trained: <br />Office of <br />Mined Land Reclamaion <br />Office of <br />Atlive and Inagive Mines <br />Cobndo <br />Geobgical Survey <br />2007-1247 <br />