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-aoo 6 - ao&~ <br />STATF, OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenr pt Natural Resources REC EI VE® <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 D[ Y (a [ O N O F <br />Phone: (303) 866-3567 JAN 19 2006 MINERAL $ <br />FAX: (303) 832$106 CONSTRIICTION MATERIALS & <br />Division of Minerals and Geola G E O L O G Y <br />LIMITED ]MPACT (110) OPERATION 9Y R E C L A M A T I O N <br />MI NING•SAFETY <br />RECLAMATION PERMIT APPLICATION FOBM <br />aal Owens <br />Governor <br />Greg E. Walther <br />CHECK ONE: There is a Fik Number Already Assigned to thin Operation ExeMive Din:ctor <br />Ronald W. faaany <br />Pemvt # M -_ _-_ (Please reference the file number currently assigned to this operation) Atting Division Director <br />% New Applicators (Rule 1.4.5) Am~dmeat Application (Rule 1.10) <br />Conversion AppGcafion (Kale 1.11) <br />Pemtit # ~-_ _ (provide for AmendmenU and Convereiorsa of existing permits) <br />The applicaticn for a Canstrnction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application foan; (2) lixhrbits A-J, Exhibit L, Add~dt(m 1, any aecfions ofExbrbii 6.3 and Geotechrsical Stabiliy Exhibit, ~ rogairad by the <br />Olfice, and outlined in Rules 6.1, 6.2, 6.3, 6.3, and 1.62(1)(b); and (3) the application fee. When yon submit yam application, be sore to <br />include one (1} complete sieved and notarized IVORY ORIGINAL and arse (1) copy oftbe oomp~[ed h~ application fomm, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendtmm 1, and appmpriate sections of 6.5 (Geotechnical Stability Exhibit), as regnireed, end a check for the <br />applicatiors fee degcrr'bed ceder (4) below. Exhibits should NOT be boned or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or <br />8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GEN11tAL OP11tATION INFO1tMATION <br />Type or print clearly, in the apace provided, ALL information described below. <br />1. Ap n6cant/opeestororrnmpanvname(nametobeuaedonMrmitl: Russell Ranch General Partnership <br /> 1.1 Type ofarganrratiors(corporation,par[nuship,etc.): General Partnership <br /> <br /> 1.2 I.RS. Tax ID No. or Social Secarity N~ber: 2.: <br />2. Op eration name(oit.mineoraitenamel: Russell Ranch Pit <br /> <br />3. Per mitted acreage (new or eriatine ake): 9.99 permitted arms <br /> 3.1 Change in acreage (+) ages <br /> 3.2 Total Acreage in Permit Area 9.99 acres <br />4. Fees: <br /> 4.1 New Application: $1.094.00 application fee <br /> Amendment Fee (C.RS. 34-32.5-123(II)): 5719.00 application fee <br /> 4.2 Conversion Fee (from 110d to 110 75. conversion fee (Role I. I I.2(2}) <br />5. Primary commoditie(s) to be mined: Sand Gravel <br /> 3.1 Incidental commoditie(s) to be mined: 1. / IbsJT'onslvr Z. / Ibs/T'ons/vr 3. / Ibs/faps/vr <br /> 4. _ / Ibs~l'ons,/vr 5. ' / ]bs/1'ons/ vr <br /> 3.2 Anticipatedeadnseofptimarycommodilie(s)sobemined: Construction <br /> Anticipated end use of incidental commoditie(s) to be mined: N / A <br />