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IVISION OF MIN9tAlS AND GCOLOGY <br />Oepartrrrent of Natural Resources <br />1313 Shemun St., Rcorn 215 <br />Denver, t:olorado S02o3 <br />Phorre: (303) 86Cr3567 <br />FAX: 1303) 8328106 <br />FEB O 1 2005 <br />Division of Minerals and Geslogy <br />MATERIALS <br />i <br />STATE OF COLORADO <br />F~ECEIVED ~~~ <br />LINIIIED IA'IPAC1' (I1B) OPERATION <br />RECLAMATION PERMIT APPLLCATION FORM <br />CHECK ONE: ~ There is a FIIe N®ber Atready Assigned to thin Operation <br />COLORADO <br />D I V I S I O N O F <br />MINESRALS <br />GEOLOGY <br />BRI Owern <br />Covsnor <br />Russell George <br />E>sttr>bve Director <br />Ronald W. C.anany <br />Drvisbn Director <br />Natural ResourQ Tnsstee <br />Permit # M ~g O~ (Please referencx the fik numbed gently assigced to this operation) <br />New Application (Role 1.4.5) Amendment Applit~tion (Rule 1.10) <br />Conversion Appfication (Rule 1.11) <br />Pemtit # M _ (provide for Amendments and Conver.3ons of existimg permits) <br />The application for a Can Materials Limited Lnopact (110) Operation Reclamation Permit sronminv three major parts: (1) the <br />application Enna; (2) Exhibits A-7, EslubitL, Addeedom 1, mry sectiems ofEahtbit 6S aMCreoteehniralStability E~tbit, as ralofred by <br />the Office, and omlined inRnles 6.1, 6.2, 63, 6S, a~ L.6.2(Ixb); and(3) the applicatianfce. Wheayonsubnrit yrom application, ire sure <br />to incfiide ame (1) Mete siQaed and>mtarizedlVORY ORLI~IltIAL ando~(1)coplrofthe coa~letedIve>ryapplicationfoxm, two (2) <br />copies ofExhibils A-7, E:chrbit 1, Add 1, and appaopaiase sections of6.5 (Gaon StabilityExhrbit), as required, and a check <br />forduapplicati~feedescarbedmda(4)below. Ealnbi~shonMNOTbebwmdorms3-riagbiada;ampsshonldbefoldedtn8l/2"X <br />11" or 81/2" X 14" size. To expedite processing please provide the information in the fnmiat a~ ordea descnbedm his fnam <br />GENERAL, OPERATION INFORMATION <br />Type or Print dearly, m the apace provided, ALL information described below. <br />1. AD Dlicant/ocerator or comnanv nay (name to be used on nermitk Tf~ /y/AS f>l Sil7 / f H <br />1.1 Type of organization (corporation, partoerxhip, etc.): So ~ F pYD ~/ l E 7ve 5 /~/~O <br />1.2 LRS. Tax ID No. or Social Security Number: ~ 91-30 - i 73 ~'~' <br />z. Op eration name tDiL mine or ate Hamel: N ~ n!//A Pi ~- /yo • 1 <br />3. Permitted acreaee (new or ezistiae sitel: ptmaitted acres <br />3.1 Change in acreage (+) 9 , 8 9 acres <br />3.2 Total Aexeage in Pe®t Area ~l' 8 q acres <br />4. Fames: <br />4.1 New Application: ~1.094.1)<) aIplication ~ <br /> Amendment Fee (C.RS. 34-32.5-125(II)): 9.~ application fee <br />4.2 Conversion Fee (from 110d to 110 875 ca nveasion fee (Rule 1.112(2)) <br />5. prLmarv eommodttieial to be mined: GvA UFL SAS d I L L <br />5.1 Incidental commoditie(s) m be mined 1. / IbslTona/vr 2. / 11asIT'ons/vr 3. / lbs/Tons/vr <br />4. / Ibs/fotts/vr 5. ! lhs/fons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: t~{0~ Si fE P 1-C~A/1f1 ?</ onJ <br />Anticipsted end use of incide~al commoditie(s) to be mined: <br />Office of <br />ANve and Inactlve Mines <br />Cobrado <br />Geologid Survey <br />Office of <br />Mined Land Reclarrsation <br />