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- -~iti -ti~-ii«-n • <br /> <br />STATE OF COLORADO <br />DIVlS10N Of MINERALS AND GEOLOGY <br />Depanment of Natural Resources ' <br />137 } 5hciman iL. Room 215 <br />Denver, Colorado BO?07 <br />Phone 1703) 866-3567 <br />FAS~(303)tl1?-8105 <br />~~~~4~~~ CONSTRUCTION MATERIALS <br />JUL fl ~ 2401 REGULAR (112) OPERATION <br />RECLAMATION PERi\IIT APPLICATION FORM <br />DIVISION O . <br />MINERAL <br />GEOLOGI <br />RECLAMATION <br />MININ G•SAFETT' <br />ell oven, <br />Governor <br />CreF E watcher <br />Execuu~e Direuor <br />CHECK ONE: There is a File Number Already Assigned to this Operation M¢nael a Lonq <br />Permit # M Di~ivon Uneclor <br />- - _ - (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule I.10) <br />Division ai Minerals and Geology <br />Conversion Application (Rule I.I 1) <br />Permit # M -_ -_ (provide for Amendments and Conversions oFexisting permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (I) the application <br />form; (2) Exhibits A-S, Addendum I, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete sinned and notarized IVORY ORIGINAL and tour (4) copies of the <br />completed Ivory application form, five (5) copies of Exhibits A-S. Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, <br />and a check For the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder: maps should <br />be folded to 8 I/2" X 11" or 8 I/2" X 14" size. To expedite processing, please provide the information in the format and order described <br />in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />AoPlicandoaerator or comnanv name (name to be used on permit): ~ ~MRA~L ~241re1.-. <br />I.I Type of organization (corporation, partnership, etc.): jvc~ f'RoPr4)E rbrt Sf. P <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: SST 3 - 33 - ~3 4.2 <br />2. Operation name (pit, mine or site name): BoTOr'i+GE S,$ ~r % <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />2 344.00 application fee <br />$2.906.00 quarry application <br />$1,938.00 amendment (ee <br />$2.344.00 conversion (ee <br />5. Primary commoditie(s) to be mined: Ci /E ~- ~4,Jb <br />5.1 Incidental commoditie(s) to be mined: 1. / Ibs/Tons/vr 2. / Ibs/I'ons/yr 3. / Ibs/fons/vr <br />4. / Ibs/fons/vr 5. / Ibs/I'ons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ~ G'urJS~ ~~TJON A~iGQEG~47~ S <br />S.3 Anticipated end use of incidental commoditie(s) to be mined: h/~~ <br />3~7, 5 permitted acres <br />/~~/} acres <br />3z7. 5 acres <br />