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T <br />~ ~. <br /> <br />DIVISION OF MINERALS AND GEOLOGY <br />~ ~..A <br />OF COLORf~DO <br />Department of Natural Resources JAN 2 8 2005 / RECEI V <br />1313 Sherman St., Room 275 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 _. CO4t$~RUb)*i ~FI>EHIAIS JAN' 1 MM <br />FAX: (303) 832-8106 REGULAR (112) OPERATION CIJ~ <br />RECLAMATION PEI3NIIT APPLICATION FORl~~isien of Minerals and <br />_~~ There h a Fik Number Already Assigned to this Operation <br />Permit # M -_ _ _ (Please reference the file number currently assigned to this operation) <br />'20 LORADO <br />DIVISION O F <br />MIN SRALS <br />GEOLOGY <br />0.EC LANATION•NININO <br />1I01MFETY•,CIENCE <br />Bit( Owens <br />Governor <br />Russell Geolge <br />Executive DIfeROr <br />New Application (Buie I.4.5) _yG Amendment Application (Rule 1.10) Dlvh on Direttory <br />i Convemion Applicatiara (Rule 1.11) Natural Resaulce Trustee <br />---~ermit# -M---i9gl 271--= (provide for-Ameadmentsand.Conversionaofe:dstinB P~'~)- ---- - <br />The application far a Con.4trtlction Materials Regnlar 112 Operation Rec]atnationPermit contains three majorparts: (1) the appGcationform; <br />(2) Exhibits A-S, Addendum 1, arty sections of Exhibit 6.5 (Cieotechnical Stability Exhibit; end (3) the application fee. Whenyou strbinityoln• <br />application, be sure iq include one (1} cal i wed end notarized ORIGINAL and one (I) copy ofthe completed applicaicnfarm,two (2) <br />copies ofExlubits A-S, Addendum 1, appropriate sections of6.5 (Geoteclmical StabilityExtibit, and acheck forthe application fee desmbed <br />under Section (4) below. Exhibits should 1~0')<be binmd or in a 3-ringbindrs maps shouldbe folded to 8 1!2" X 11"or 8 I/2" X 14" sine. To <br />expedite processing, please provide the information in the format and order dcscn'bed in this form /~ ~,, ,I <br />H-/Y 1 -~+ <br />Type or print clearly, In the apace provided, AI,i iMormatlon requested below. <br />I. ~pplicanUocerator or comoanv namesname to 6e used off Hermit): ~ t0 uKO N Enl aRoS . SToAE Gotnp.4Af y >/ <br />1.1 Typeoforganization(corporation,parmaship,etc.): 5 <oRPoRnTwnl <br />1.2 I.R.S. Tex I.D. No. or Social Security Number: O 1 t -1 4 5 2 - 0 00 <br /> <br />~2. Oceration name-{Hit mine or site name): ~6 t.c N I+r E. ~ Q uA R R 1 £ S / <br />3. 1 Permitted acreatle (new or eiistina aitel: <br />•~~ 3.1 Change in acreage (+) <br />--3.2 -Total acreage in.Permit area - - - ---- - - - <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Applicatiott <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation {set by statute) <br />5. Primary commoditie(sl to be milled: SAAIASSOUE <br />5.1 Inciderdal commoditie(s) to be mined: 1. - Ibs/I'ons/vr <br />3~' laf7 permitted acres <br />+ rl arses <br />- - - 1-q ~ - a~ - <br />$2,344.00 application fee <br />$2.906.00 quarry application <br />$1.938.00 amendment fee <br />$2.344.00 conversionfee <br />2. / Ibs/fons/vr <br />3. / ]bs/I'ons/vr 4. / Ibs/I'ons/vr 5. / lbs/fons/vr <br />5.2 A>tticipated end use of primary commoditie(s) to be mined: Bu 1 t_IJ t FJC> ~ LA w10 5cA PE <br />5.3 Arficipated end use of incidental commoditie(s) to Ue mined: <br />ice of OfFice of Colorado <br />Mined land Reclamation Attive and Inactive Mines Geological Survey <br />