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1--1 ~ t~-o~,~ <br />~~ <br />-~ <br />OF COLORADO <br />DIVISION OE MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 21 i <br />MAR 2 7 2002 . <br />RECEIe>ED <br />~~ <br />DIVISION OF <br />MINERALS <br />Denver, Colorado 00203 p~yr~of~1! lo,~, <br />Phone: (303) 866-3567 CONSTRIII~l"1[/1Qt~'1Lr.~r <br />FAX: (303) 832-8106 REGULAR (112) OPERATION ~ MAR O ff 2002 <br />RECLAMATION PERMIT APPLICATION FORM <br />Givision of Minerals and Geology <br />GEOLOGY' <br />RECLAMATION <br />MINING•SAFETY <br />Bill Owens <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />Greg E. Walther <br />Permit # M -_ _ - (Please reference the fde number currently assigned to this operation) Executive Director <br />Michael B. Lang <br />New Apphcation (Rule 1.4.5) _ Amendment Application (Rule 1.10) Di~fsion Director <br />Coovetsioe Applcation (Rule 1.11) <br />Permit # M - ~-~ (provide for Amendments and Conversions of existing permits) <br />The application for a Constmction Materials Regulaz 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Extnbits A-S, Addendtmm 1, a~ sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete slated and notarized IVORY ORIGINAL and four (4) espies of the completed Ivory <br />application form, five (5) copies of Exbibits A-S, Addendum 1, appropriate sections of 6.5 (Geo[echnical Stability Exhibit, and a check for <br />dte 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 11" or 8 1/2" X 14" size. To expedite processing, please provide thethe information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />i.l Type of organization (corporation, partnership, etL~): SO~C~~O/"Op/-/ Pfm/`S'`/'i /~ <br />1.2 LRS. Tax LD. No. or Social Security Number: ~'~ - d9PD5~7/ <br />2. Ooeration name (nit, mine or site name): LA/JlE0 hiQAl/~L <br />3. Permitted acrea¢e (new or eaistine site); yt~ .S5 permitted acres <br />3. I Change in acreage (+) ~~~• ~7 acres <br />3.2 Total acreage in Pewit azea /9.5. DL acres <br />4. Fees <br />4.l New Application $2,344.00 application fee <br />4.2 New Quarry Apphcation $2,906.00 quarry application <br />4.4 Amendment Fee $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.344.00 conversion fee <br />5. Primary commoditie(s) to be mined: ~22~ ~"~' ~~ ra G~v66/G'S. <br />5.1 Incidental commoditie(s) to be mined: 1. ! lbs/Tons/vr 2. / lbs/Tonshr 3. / ibs/Tons/vr <br /> 4. / lbs/Toos/vr 5 . / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: /'79 Ql~ ~7QSe .- ~Q/)Q'.SCQ~OG <br />5.3 Anticipated end use of incidental commoditie(s) to be mixed: <br />