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DIVt510N OF MINERALS AND GEOLOGY <br />Department of Natural Resoruces <br />t3t3 Shemran St., Room zt s C O L O RA D O <br />DtlIVM, tAlOradG 80203 DIVISION O F <br />Pl,o„c t3o3) 866.3567 CONSTRUCTION MATERIALS M I N ~RA L S <br />FAX: (303) 832$106 REGULAR (112) OPERATION G E O L O G Y <br />EECLANAT~O W MINING <br />RECLAMATION PERMIT APPLICATION FORM RECEIVE lAlETY•ECIENC! <br />JAN 3 0 2006 a°eore°ro! <br />CHECK ONF.: y There ie a File Number Already AnipEed to tab Operation l ~~ <br />Permit # M -~-~9 (Please reference the file number cturemly assi~irid~Ea d4f!'oA~'a~~1e Dirca« <br />/ New Applicalion (Rule 1.4.5) _ Ameudmmt Application (Rule 1.10) <br />„ ConveFSion Application (Rule I.11) <br />Permit # M -_ _ (provide for Amendments and Conveniona of existing permits) <br />tlpuld w. caaasr <br />Division DieeIXar <br />Naeaal Resource Tns[ee <br />The application for a Constnsetion Materials Regular 1 12 Operation Reclamation Permit contains three major parts: (1) the application fora; <br />(2) Exhibits A-S, Addendtan 1, arty sections of Exhibit 65 (Geotecimical Stability Exhibit; and (3) the application fee. VJhenyou submityour <br />application, be sure to include one (1) complete simled and notarized ORIGINAL ate one (1) copy of the completod application farm, two (2) <br />copies ofExhibits A-S, Addendum 1, appropriate sections of6.5 (Geotechmcal Stability Exhibit, and a check for the application fee described <br />ands Section (4) below. Exhibits should `1OT_ be bound or in a 3-ringbirtder; maps should be folded to 8 12" X 11" or 812" X 14" size. To <br />exp~lite Pr~~B, Please provide the information in the format and order described im this form <br />GENERAL OPERATION ]NFORMATION <br />or print clearly, !n the apace provided, ALLmlormation requested below. <br />1. A~,plicanUoperator or oomoanv name (name to be used on nermtt): M ES !~ ~~i~l C l n ~~~ L , ~ , <br />l.1 Type of organization (corporation, partnership, etc.): ~ 1 M r ~ E!7 L t A P, I L I i ~ ~`pf~ Pn R AT/ /1(J <br />2. Operation Dame foil. mine or site Dame): ~ I N ~~ 14-QS FI_~QN~,~ ~ A /J rc <br />3. Permitted aa~e+E a (slew or e~tius site): <br />3. I Chamge in acreage (+} <br />3.2 Total acreage in Permit area <br />a r " ~ ~ permitted <br />acres <br />r . ~ ~1 acres <br />4. ~: <br />4.1 New Application ~2.34~ application fee <br />4.2 New QuaiTy Application $2.906.00 quarry application <br />4.4 Arrlendmeat Fec $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by .tiatute) $2344.00 conversion fee <br />5. Prlm arv eommoditk(s) to be mhced: S/~N ~s TQ-.l E Rt~.~jr <br />5.1 In~identel cotnmaditie(s) to be mined: 1. Ibs/fons/vr 2. / lbs(fons/vr <br /> 3. / Ibs/I'ons/vr 4. / Ibs/fotts/vr 5. ! Ibs/I'onsAT <br />5.2 Anticipated end use of primary commoditie(s) to be rained: CflD.1S7R v C'_T7 8A1 ~ CSR E~ &'tE ~ R (P Rf~P <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of ONfce ~ Colorado <br />Mined land Reclamation Active and Inactive Mines Geologial Survey <br />