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ii iiiiiiiiuiii iii <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmern of Nartiral Resources <br />1 S I f Sherman 51.. Room 215 <br />Denver, Gilurslo H02U3 <br />Phone: (lUJI HGG-15hi <br />FA%. 11011 H3?-H 106 <br />Operation Dame (nit. mine or site name): <br />CONSTRUCTION MATERIALS <br />pivision of a'losrals as <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />~~ <br />DIVISION O F ~ <br />MINERALS <br />GEOLOGY <br />,~aI LAMA7ION <br />'M~ING•SAFETY <br />Bill Owem <br />Gnvernai <br />Greta E. Watcher <br />E.ecwive Oireaor <br />CHECK ONE: _ New Application (Rule 1.4.5) <br />C A 1' R I 111 <br />X Mchael B. Long <br />Amendment Application (Rule 1.1 Ob;v,:ion D~.enor <br />onversron pp (canon ( u e ) <br />~/YI - b0 3 <br />Permit # M - 84 - 041 -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Mazerials Regular 112 Operation Reclamation Permit contains three major parts: (I) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections ofExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one(() complete signed and notarized IVORY ORIGINAL and four (4) copies of the completed Ivy <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriaze sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 1/2" X 1 I" or 8 112" X l4" size. To expedite processing, please provide the information in the format and order t~scribed in this form. <br />GENERAL OPERATION INFORMATION Z ~ ~ SSD • ~o <br />Type or print clearly, in the space provided, ALL information requested below. <br />Apolicanbooentor or comoanv name !name to be used o0 permit): Centex Eagle Gypsum Comoanv. LLC <br />1.1 Type of organization (corporation,parmership,etc.): Limited Liability Company <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. <br />3 <br />Permitted acreage toew or existing site): <br />Eagle Gypsum Mine <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. <br />Fees: <br />4.1 New Application <br />4:2 New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 1 l2 operation (set by statute) <br />5. Primary commoditietsl to be mined: Gypsum <br />5.1 Incidental commoditie(s) to be mined: 1. - Ibs/1'ons/vr <br />R~r~~E~ <br />OCT ~ g 2CD0 <br />410 permitted acres <br />420 acres <br />830 acres <br />$1.875.00 application fee <br />E2.325.00 quarry application <br />53.100.00 milling application <br />31.550.00 amendment fee <br />$1.875.00 conversion fee <br />2. ! Ibs/fons/vr <br />3. / Ibs/fons/vr 4. / IbslTons/vr S. / Ibs/fons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Gypsum Wallboard <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: NZA <br />