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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFEfY <br />Department of Natural Re3ources <br />1373 Sherman St., Room 275 <br />Denver <br />Colorado BD203 C O L O R A D O <br />, D I V I S I O N O F <br />Phone: (303) 86fi•3567 CONSTRUCTION M1SA'I`E:RIALS RECLAMATION <br />fAx: (303) 532506 REGULAR (i 12) OPERATION M i N 1 NG <br /> -&- <br /> RECLA,IIATION PER41[T APPLIC.ATiON FORM SAFETY <br />Bill Owens <br />Governor <br />CHECK ONI: ~ There is a File Number Already Assigned to this Operation <br />Russell George <br />Permit # D^'f -~-- l°l -^ (Please reference the file ntunber currently assigned to this opera(tb'ft~"'n n'rP~ror <br />Ronald W. Gattany <br />_ New Application (Rule 1.4.5) _~.., Amendment Application (Rule 1.10) olvision olre~tor <br />_____ Conversion Application (Rule l .l 1) NamrJl aesource rrvsten <br />Permit ?? M - Zoo) - I o7 -_ (provide for Amendments and Conversions of existing pemvts) <br />The application for a Constmetion Materials Regular 1 l2 Operation Reclamation Permit contains three major parts: (I) the application <br />fotm; (2) Exhibits A-S, Addcndmn 1, any sections of F,xhibit G.S (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application forttt, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, ands check for <br />the application fee described under Section (4) below. Exhibits should NOT be botmd or in a 3-ring binder; maps should be folded to <br />8 I /2" X 11" or 8 I/2" X 14"size. '1'o expedite processing, please provide the information in the format and order described in this form <br />GENERAL, OPERATION INFORMATION <br />Type or print clearly, in the space provided, AI1, information requested below. <br />L ett[plicantlooerator or comnanv name (name to be used on Dermitl: ~~~I~ ~wR.c?o_esatTwwro~ tJG ,Y____ <br />1.1 Type of organization (corporation, partnership, etc.): ~~Rr4rral <br />2. Operation name (pit, mine or site name): NGGS Y1T ~ 1 <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.I New Application <br />4,2 New Quarry Application <br />4.4 Amendment Ece <br />4.S Conversion to 1 ] 2 operatimr (set by statute) <br />5. Primary commoditielsl to be mined: ~V.ND 4,~.VSL _ <br />5.1 Incidental cormrroditie(s) to be mined: I. ___fJl~,_,___,____„_Ihs_ tonsl~~ <br />3. __- i __^- Ibs/Tonsixr 4. _.__ i Ibsr'fons~T <br />/oz, 7 Z-. permitted acres <br />72.Sfo acres <br />175. (03 acres <br />$2 344.00 application fee <br />2 90GA0 quarry application <br />~1y438r00 amendment fee <br />344.00 conversion fee <br /> <br />S, __ ! Ibs/fons~ <br />S.2 Anticipated end use of primary commoditie(s) to be mined: _GorJ~7oN A44Rr~ta~ ___ ____~-__ <br />5.3 Anticipated end nse of incidental commoditie(s) to be mined: <br />C7ffice Uf <br />Minrxl Land Reclamation <br />Office o{ <br />A<Yive and inactive Minns <br />