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a � <br /> STATE OF COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY <br /> 113Department of Natural Rewuaes <br /> 1 <br /> 1 Sherman SL, Room 115 <br /> Denver,Colorado 80203 <br /> Phune.(3031 866-3567 <br /> FAX U031831.8106 <br /> DEPARTMENT O <br /> REC@\/F-D NATU <br /> TTRAL <br /> CONSTRUCTION MATERIALS RESOURCE <br /> SEP 19 1991 REGULAR (112) OPERATION Roy Romer <br /> RECLAMATION PERMIT APPLICATION FORM Governor <br /> lamer S.Lochhead <br /> DiviSicn lE'r• ORIGINAL Am Mic hael B. on WrC.Lorp , <br /> D,visiun DirKiw <br /> CHECK OF:E: New Application (Rule 1 .4 .5) Ameadm t Applica i n (Rule 1. 10) <br /> Conversion Application (Rule 1.11) <br /> Permit k M-AL L- 0S9 (provide for Amendments and Conversions of <br /> existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains <br /> three major parts : (1) the application form; (2) Exhibits A-S, Addendum 1, any sections of <br /> Exhibi.c 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br /> application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL and four (4) <br /> copies of the completed Ivory application form, five (5) copies of Exhibits A-S, Addendum 1, <br /> appropriate sections of 6. 5 (Geotechnical Stability Exhibit, and a check for the application fee <br /> described under Section (4) below. Exhibits should NOT be bound ur in a 3-ring birder; maps <br /> should be folded to 8 1/2' X 11' or 8 1/2' X 14' size. To expedite processing, please provide <br /> the information in the format and order described in this form. <br /> OPERATION INFORMATION <br /> Type or print clearly, in the space provided, ALL information requested below. <br /> 1 . APPIi cant/operator or company name (name to be used on permit) : <br /> Hall Irwin Construction Company <br /> 1.1 Type of organization (corporation, partnership, etc. ) : Corporation <br /> 1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-0524573 <br /> 2 . operation name (pit, sine or site name) : _. Baseline Resource <br /> 3. Permitted acreage (new or existing site) : 80.96 permitted acres <br /> 3. 1 Change in acreage (+ or -) 88 . 66 a-res <br /> 3 .2 Total acreage in Permit area 169 . 6 acres <br /> 4 . Fees: <br /> 4.1 New Application $1. 875.00 application fee <br /> 4 .2 New Quarry Application $2, 325000 quarry application <br /> 4 .3 Milling Application (Non-DMO) $3, 100.00 milling application <br /> 4 .4 Amendment Fee $1, 550.00 amendment. fee <br /> 4 .5 Conversion to 112 operation (set by statute) $1, 875 . 00 conversion fete <br /> 5. Primary commoditis(s) to be mined: Gravel Sand <br /> 5 . 1 Incidental commoditie(s) to be mined: 1 . N/A lbs/Tonsiyr <br /> 2 . / lbs/Tons/vr 3 . / lbs!Tons/vr <br /> 4 . / lbs/Tons/vr 5. / lbs/Tons!vr <br /> 5.2 Anticipated end use of primary cor-noditie(s) to be mined: COnstrUcti011 Material <br /> 5 . 3 Anticipated end use of incidental commoditle(s) to be mined: N/A <br />