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JAi~~'0 6 X005 ~e~e~ver-~ <br />~: ..- . , ~ - .. ~ .. ,r•;~r STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Rewurces <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 8663567 _.. <br />FAX: (303) 832.8106 <br />CONSTRIICTION MATERIAL4 <br />REG177.AR (112) OPERATION <br />JLORADO <br />VISION O F <br />IN~RALS <br />EOLOGY <br />RECLAMATION PERMIT APPLICATION FORM ""`"""' ""'"'"' <br />EAFETT•SCIENCE <br />Bill Owen <br />~CK ONE: _~L There b a Ffle, Number Already Assigned to that Operatbn ce~cr <br />Russell George <br />Permit # Irv -_ _ _ (Please reference the file number cun+emty assigucd to this operation) Fxecuu"e oireaor <br />_ New Application (Role 1.4.5) _~ Amendment Application (Rule 1:70) Romald w. caaamy <br />olrl~ Diretmr <br />_ Conversion Application (Rule 1.11) ~ Namml Resource tnatee <br />Permit # ~_ i99 {• 2~ 7 -_ (provide for Amendment and Converskw of 6oatiag Permits) <br />2e application for a Construction Materials Regular 112 Operation RecL®ationPetmitcontains three majorpaAs: (1) the application form; <br />Exhibits A-S, Addends 1, e~ sxtioas ofExhrbit 6.5 (Geotechnical Stability)rkhlbir,and (3)the applicetionfee. Whmyar submoityaa <br />rpficetion, be sure to include one (I) complete si®ed and notarized ORIGINAL and one (1) copy ofthe completed appliratimform,two (2) <br />rpies afExbrtits A S, Addeodran 1, appropriate sections of6.5 (Geotechnical StabilityExhrbit, and a check forthe application fce desalted <br />idaSectian(4)below. Exhrbitsshould~bebolmdorina3-ringbindermapsshaildbefoldedto8lll'X11"or81/2"X14"sine. To <br />P Pleasc provide the mformmion in the format amt order descntedm this fem <br />GENERAL OPERATION ]NFQRMATION <br />Type or print ckady, io the space provided, ALL hEformatlon requested below. <br />AonlicanUooeretor or comnanv name (name to be noel on nermkt: L O N 1co N Ent EROS . STor1E ConEpAAJ y <br />1.1 Typecforgam2stion(ccaporatiaul,partnelship,eta): __ S coRPoRwtEOnl <br />1.2 IRS. Tex LD. No. or Social Security Number. O 't t'1 4 5 2 - o 0 0 <br />Ocerstionname(pit.mineorekenamet: ~6t:cH ~~~~ QuARRlES <br />Permkted acresae (new or esbtina sleet: <br />3.1 Change in (+) <br />3.2 Total savage m Permit area <br />~: <br />25 permiuedaaes <br />h ~ <br />i ct O ears <br />4.1 New Application 52.344.00 application fee <br />4.2 New Quarry Applicatia~n $2.906.00 quarry applicaticn <br />4.4 Amendu>mtFce $1.938.00 amendmeenttfee <br />4.5 Conversion to 112 operation (set by statute) $2.344.00 cenversioa foe <br />Primary rommodkie(at to be mined: $AA~pSjo1~E <br />s.l Incidental commoditie(s) to be mined: 1. lbs/folis~ 2. ~ ma /1'onL/y; <br /> 3. ~ lbs/i'~vr 4. ~ lbs/fonc/vr 5. 1_. IbslI'ons/vt <br />52 Anticipatedenauseofprimsryaaffiodifie(a)tobeminad: Qut~fJEw)c, + <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />