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STATE <br />DMAON OF MINElALS AND GEOIAGY .~ <br />~, _DaOartnwnt LA BhlLllal RaeLaaes <br />rata SiN;mun SL, Room 21s <br />Denver) Cekrado 80203 <br />Phone (303) 8663567 <br />PA7(: 1303) U2-0106 <br /> <br />MATERIAI3 L/ <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />COLORADO <br />p1VIf10N OF <br />MINEgRA~LS <br />GEOLOGY <br />RlCLa NRT10N•MINING <br />{a!!lY•fOfNC! <br />Bill Ovrora <br />Gaefror <br />CHECK ONE: __ There B a Fik NRmher Alrgdy Aaiyred to thk OperatbR <br />Russell Gap <br />Permit k ~-_ _ _ (Please reference the file mm~ba claradly assignal to t}fis apaatiaR) Exe:vtlve oi,w.ror <br />Nerr A licatiwi Rule 1.4.5) Amendarent A 11Laninn Rule 1.10 RuNald w. camm <br />PP ( PP ( ) Oivifion Oheeer <br />_ CLmveraloR Application (Rule 1.1 I) Nat°nl Reavnx rrustae <br />Permit q M -~C?_~_ (pmvide for ARmRdmeRb and CoovenbRf pf ebsting permits) <br />The applicatim! fa a Consmlctical Materiels Regular 112 Operation Ker2elrlation Yepnit contains tbrce major parts: (l) the application forts; <br />(2) Exhibits A-S, Addeldpm 1, any sections of Exhibit 6.5 (Oeoteclmicel Stability Exhibit; arld (3) the application fce. When you submitycaa <br />application, be sure to iu:lude one (1) urmplete simmef! and mtarizrd OA[GINALmtd one (1) CupyoFtlle mpLpletcd application forltti two(2) <br />cropies ofEzhibits A-S, Addnldum 1, appropriate sections of6.5 (Cootechaical SiabililyExhibit, and a cllecl: for the opplication feedesat3ed <br />larder Section (4) below- Exhibits should ~Qa be bcnmdor in a 3-ring binder, maps sballd br folded to 8 1/2" X 1 I"or 8 I /2" X 14' sine. Tn <br />expL~itc prf>cessing, pleave provide ikle information iq the format and older described N this form. <br />GENkRAL OPERA'ION INFORMATION <br />Type or prfRt clearly, m the spas provided, ~ httormatioR requested bebw. <br />~~, , <br />l . ADplinptlocenbar or comoaRV Rama (Rama m be uacd oR Reranitl: 1rC~B ~[( S a Vt~ ~.-teE Ca rZv/B I ~ <br />1.1 Type Llf organization (corporation. pattllership, etc.): _ Pav__T~-hn Gf, ~t~ P <br />2. (,operation same (Rk. miee or aka eamey: ~ 2 b?A' F~ s ~ ~~ , 2 <br />3. Permitted aercase (x!v or eabtiea aka): _~ •94' pemtitted saes <br />3. t Change in acreage (+) _ b 3 • ~(~_ acres <br />3.2 Total acrcage vl Permit area ~ ~ Y. saes <br />4. Fxa: <br />4. ( New Application $2344.00 applicakun fee <br />4.2 New Quarry Application 52.906.00 quarry application <br />4.4 Anrepdrnent Fa $1.938.00 amendment fec <br />d.i Conversion W 112 operation (set by :Refute) $2344.0(1 convasiun fce <br />5. Primarr copamodkie(s) to he mined: 51fnGr / s~ <br />5.1 In~~dLmtal commoditie(s) to be mitred: 1. Ibs?onehr 2. __ / lbs/Ibnslvr <br />3. / IbslfollsA'r 4. / lbs/l'onsA~ i. / lbs/foos/Lr <br />5.2 Anticipated end rue utprimary- commoditie(s) to be mined: Gp ~16~ fLl GF+ Or m 2f~v 1 a(5 <br />5.3 Anticipated end use of incidental cetnmoditie(s) to be mined: <br />FEB 0 7 2GG7 z_ <br />or6a d bBla sd <br />Mined Land RxlanLation Aptve and Ifncttve Mina <br />