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NOV. 1, 2006 3:03PM TOWN OF GRANBV 9108819341 N0. 9515 N• 4 <br />sTA~ of coLO~nc <br />DtVIS10N Of tt[CLAMA710Nt MINING ANd SAffiY <br />~panrrteta of Nalur~l Resources ".(7~ <br />1313 SLerrran sr~>~~ E!1/ED C D L O Rk D 11 <br />Oe~rver. Colaradc <br />Phan (3031 86 63 567 n e v t a r o n o <br />CpNSTRllC'YTOx MATBRIAf.S IIECLAMATIOt <br />Fhk(3o3ra3z.e,o6 SEP 1 32006 IiRGULAItpla)oPBRd-'nox MINING <br />-&-- <br />Division of Reclarna'AMA~N PERMIT APPLICATION FORM SAFETY <br />Mining and Safely <br />aal trwaa <br />Cl~itTC ONIz: / There io a Plle Nmrtbcr ~~ <br />Already Asaignd to this Operation awe <br />Perssrit # ~ ~,~.,~~ ~ (pleasC [ef~reaCC lhC f11e nmaber auread9 assigned W this ope~a$f~°`s ~"~O~ <br />____- Nero Applicuioh (Rnle I.4.S) _~ Ameedmest Application (Rule 1.10) oM«rn w~ <br />~_ Copvenlsn Applitatitm (Rule 1. I1) want ~~ tN~ <br />Pernrit # X14," 1983.- 102 -_~ (peovide for Arnmdataala and Canveraleua of ecisria$ ptatnita) <br />TLC application for a Cotnhuaioa Materials R~`gttlar ll2 Opesatirsa IiCclamatkm Perndt contains tbreeungar parts: (1) the spplicatiw <br />fomx (2) F.xhtbils A-S, Addendmn 1, any uet6ons of ErcSrbit 6.5 (Geoteclntical Stebllay SxheLig aCaL (3) tSe appEcation fen. Wlmn you <br />submit ymr appYrcaeion. 6e sure m ierlude one (1) e~mlcte edtmed and notarized 012IGIIVA~ sled one (1) cgry of the coatpleted <br />applicationform, twe (2) copies ofBxhebits A-Sr Addcaattrm i, appmptiate recbioaaof6S (GeoteehnicaiStahitity t3cbrbiy ardarltockfar <br />tba applicatiol tie dacaibed trader Station (4) below lsx]ubils sbonld N,~ be Sound ar in a 3-tiog binder; maps skould be folded to <br />$1/2" X i 1" or S 1/2• X I4" saa Ta expedito ~~~, Please provide the iufOrll~tiopantte faaheat and order thxtarbed'm ibis form. <br />l~BIQERAL OPERATION INFORMATION <br />T)'Pe ar P~ ~rh,1n the apacC provided, ~ inferhudoa rrgaetded below. <br />!. ~iplieaat/anerntor or eommny num !name ttr he nse~ on oermft): ,~~p~~y <br />1.! Type oforgarxm9hno (corpwauo4 p>tmetslf.P. e>t.): PartnPta <br />2. OneraBon namr (on. mine ar sile anmel. 'Thomason Resource (AKA Horn Gravel Pit) <br />3. Permitted "~•oa thew or erist9att ate); <br />3.1 Mange in acreage (+) <br />3.2 TMa1 acreagf is Peendt area <br />4. ~: <br />4.1 NewAppEcatAwi <br />4.a New Quarry Appiicedoa <br />4.4 Ameadmeot Fee <br />4.5 Conversion to 112 opetatiaa (set by statute) <br />5. PWmarv rnmmod(tIe(el oa bemused: card V01 g1~J~ <br />5.1 Uxidet~l tronmmoditie(s) W be ndaetb t. ~onslvr <br />i l onslvr 4. / Ibs/Tons/vr <br />,_.5o go t~ acres <br />1 Q.12 acres <br />49-62 acres <br />7iX834.'60 applieat)oa fee <br />epts~appli~Ran <br />43 . amndrnatt fen <br />conversion fee <br />2. ! 1¢sfl'an5/vr <br />5. ! ISa/Ibteslvr <br />5.2 Auticipaied end use ofprimary coerNradit(e(S} to bemired: nrm'4»pa ma ~ajg~ hacicfitl mafrrial <br />5~ Anticipated read age of'meldeafel cn[mrmtlllrlC(8) to be mined: <br />ORlaa of <br />Mined land Redamffilon <br />O(fiaB of <br />AOhre and Mgctive Mmes <br />