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STATE OF COLORADO <br />DtvISION Of RKUIMATION, MINING AND SAftTYL/ ~~~ ~/~ CI'l~n >/ <br />~epamnmt of NaNrat Resources ~~ `/ <br />,3i35herman S,., Ro~^~~VED ,/ "6Z ~ot\\ <br />tlenvel, Colaad0 fXl n i Y i S i (3 N O F <br />Phone: (303} 86fr3567 CONSTRUCTION MATERIALS L'-~ RECLAMATION <br />FAX: (303) 8328106 SEP 1 3 2006 REGULAR (112) OPERATION M l N I NG <br />. ~- <br />Division of Reclama~;~•AMATLON PERMIT APPLICATION FORM SAFETY <br />Mining and Safety <br />viii o..em <br />Govert,or <br />CHECK ONE: / There is a File Number Already Assigned to this Operation Russekl eeaye <br />Permit N W~-i ~ _ (Please refem~rce the file number currendy assigned to this opetall~}"1e Direnar <br />- RmuM ~Y. Cffiany <br />`New Application (Rule 1.4.5) ~,_ Amendment Application (Rule I.10) ~;e„ oxe~ra. <br />_ Conversion Applicat/ion~(Rule 1.1 i) Neural Resource rmsee <br />Permit N M - 1983 - 102 '-! (provide for Amendments and Conversions of existing permits) <br />The application For a Construction Materials Regular 112 Operation Reclamation Pemit contains three major parts: (1) the application <br />form; (2) Exlvbits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechrtical StabilBy ExlvbiF, and (3) the application fce. 4vheo you <br />submit your application, he gum to include one (I) conmlete siffied and notarized ORIGINAL end one (1) copy of the completed <br />application form, two (2) copies of F.xhtbits Ate, Addendum 1, appropriate sections of6.5 (Geotechnical Stability Exhibit, atrdacheckfor <br />the application fee described ender Section (4) below, Exhibits should NOT be bound or in a 3-ring binder, maps shadd be folded to <br />8 1/2" X ! 1" or 8 1J2" X 14" srce. To expedite processirFg, please provide the informerioa in the fotamt and order descrbed in dris form <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, ~ information requested below. <br />1. Apolicant/onerator or rnmpanv same (earns to be used on cermiti: Thnrrmann prrtiee ~' <br />l.1 Type of orgenizarion (corporation, partnership, etc.): Partnerahin <br />2. Oo eration name foil. mine or site name): Thompson Resource (AKA HOIn Crravel Plt) <br />3. Permitted acreage fnew or e:istl~ sitel: 50.50 pemlitced acres <br /> 3. t Change in acreage (+) 19.12 acres <br /> 3.2 Total aaeage in Pemit area 69.62 acres <br />4. ~q: <br /> 4.7 New Application 338it~.80 application fee <br /> 4.2 New Quarty Application b0 quarry application <br /> 4.4 Amendment Fee $1,438.110 arrendment fee <br /> 4.5 Conversion w 112 operation (set by stature) 5:3d:4A®D conversion fee <br />5. Pri mary commodltiefsi to be Wned: sand rzravel q]~)p <br /> S.1 [nciderdai comtrwdi[ie(s) to be mined: 1. ~ - ibsfl'onstvr 2. ! Ibsffortsiyr <br /> 3. ! IbslTonslvr 4. 1 Ibsfl'onslyr 5. ~ Ibs(Tons(vr <br /> 5.2 Anticipated end use of primary conmtoditie(s) to be mined: cnnatnrMinn m atPria)~ haclrfill m aterial <br /> S.3 Anticipated end use of irtcidenlal rnrtmioditie(s) fo be minced: <br />C1Kce of ice of <br />Mined land Reclamation AC7fve and Inactive Mines <br />