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<br />^ - +~ STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLO~'--"~ ~" -' = ) <br />Deparuneit of Natural Resauces <br />1313 Shemun St, Room 215 C O L D RA D O <br />LA PLAT, i;CJNTY <br />Denver, Colando 80203 - „• C1~p ~ ~ ` o t v t s 1 o N o r <br />Phone: 1303) 866-3567 CLER~:OHr,`f'Rl)~'FONYMATEAIALS , ~ M [ N &RA L 5 <br />~;, ~ _ ~~ <br />FN(: 13o3f 93idr06 AEGGLAR (112) OPERATION `~ G E O L O G Y <br />RECLAMATION PERMIT APPLICATION FOAM S)(t r(~~SL ~'~ se ieiei~aa~HCi"o <br />~.~~~ <br />/ ~ „9a~uaea: <br />CI-IE'CK OUP: ,~_ /~ There is a Fik Number Already A»ipled to this Opentbn C`•']l",.• _ ~~ L~•`- "~ co-vnor <br />R~asell George <br />Permit # M -_ _ _ (Plzase reference the file number eturrntly assigned W this opcrgtion) taean". oiao« <br />Ronald W. Unany <br />Yew Application (Rule L4.5)Amendment Application (Rule 1.10) omision dmnor <br />Converrbn Application (Rule 1.11) Naml Refource rrust« <br />Permit # M -~ D4~-` (prrnide for Ameodmeeb and Conversions of existing permits) <br />The application fllr a Construction Ma[erials Regular 112 C1Peration Reclamation Permit ccmtains dtnee majorparts: (I) the application form; <br />(2)ExhibitsA-S, Addendum l,any,eaionsof Exhibit 6.S((ieotechnicalStabilityExltibit;and(3)iheapplicationfce. When you submitytwr <br />app)ication, be sure to itwlude eme (i) wmnlete signed and notarize) ORIGINAL and one (1) copy of the compk~ted application fnmt two (2) <br />copies of Exhibits A-S, Addendum 1, appropriate sections of G.i (Geotechnicat Stabiliiy Exhihit, anJ a checF; for the application fee described <br />undzr Section (4) below. Exhibits should naT be bound or in a 3-ring binder, maps should be folded to R 1 /2" X 11"or 8 I /2" X 14" size. To <br />expedite pnxa:ssing, please provide the information b the format and order described in this torso. <br />GENERAL OPERA'1TON INFORMATION - <br />Type or print clearly, in the space prm•Ided, ~ intormxtion requested below. <br />1. Aoplieant/ocentnr or comoanv name (name to be used ao oermltll: GI r2VP~ LLG <br />1.1 Tvpe oforgartization (corpomlion, partnership, etc.): Liry1~TGC( L-iabIll ~-.1 Go rri Part~,__.._ <br />2. Operafion name f oil. mine or site aame): 120 C_IC.. ~(Xa <br />3. Permitted aercaee (nrw or egistina age): <br />3.1 Change in acreage (+) <br />3.2 'Total a:rcage in Permit wren <br />4. Rees: <br />4.1 New Apphealinn <br />4.2 New Quany Application <br />4 4 Amendment Fee <br />4.i Conversion to 1 12 opzratiun (set by statute) <br />21.0 .. 9 petmittcd acres <br />13 3 acres <br />2 Z~. Z acres <br />52.344.00 application fee <br />52.906.00 yuarty applioutiun/ <br />S 1.93R.b0 amrndmrnl fee / <br />$2.344 00 conversion fee <br />i. Priroxn cnmroodkie(s) to be mined: S2r~I __q /l~% ~I S'E'anc <br />5.1 lncidcvtal commoditie(s) to be mined: I. T Ibsltonshr 2. __/ ]bs/fons/vr <br />3. / lbs(1'onsh'r 4. / lbs(('ons/~r i. / lhs/fonsAr <br />5 2 Anticipated rnd use of primary- commoditie(s) to be mined: APM P~/Z' f row{ Cool e,~-t~c.l ~-to/1 <br />i A <br />5.3 Anticipated end use of inc:idrnml commoditie(s) [o be mined: N /.4 -. <br />OKae of Office al Colorado <br />Mined Land Redamatian Active and Inxyive Mines Geological Survty <br />