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STP~TE OF COLO~ 3 <br />• "DIVISION OF MINERALS AND <br />t>epanment of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phorse: 1303) 856.3s67 <br />FAx: t3o3> a3z$1 a <br />~`o~ ~ / <br />OLORADO <br />IV ISION Or <br />IINERALS <br />GEOLOGY <br />R[OLRNhTIOM•NIN INO <br />3/~if TY•SCIfNCf <br />'~W'~ m Division of Minerals and Geolot~yam Owen, <br />I <br />Gouerrar <br />~fis, rm w <br />~V I Leo\o0V // <br />tstaa p\MR°a~ONSTRUCTION MATERIAIS R EC E f ~.' <br />Vt" REGULAR (112) OPERATION' II~I ~IpA~~ <br />RECLAMATION PERMIT APPLICATION IrArklrl~ ~ ) <br />Ta ~' <br />CHECK ONF.: ~ There is a Fik Number Alresdy Assigned to this Operation Ras:en ~~ <br />Permit # M -iti;'~ ~~(Please;reference the file number cutrentty assigned to this operation) rxeat"T Director <br />New A lication Rule 1.4.5 i Amendment A lication Rule 1.10 awm w. c~aary <br />PP ( ) ~ PP ( ) Division Dinxt« <br />__ Convenioe Application (Rule 1.11) Natural Resource Trustee <br />Permit # M -]~-~1~-_ (provtidi for Amendments and Converaiom of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains ihrce major parts: (I) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical S[abiliTy Exhibit; and (3) the application fee. When you submilyour <br />application, be sure to include one (I) complete si®ed end ratarized ORIGINAL and one (1) copy of the complc4ed application loon, two (2) <br />copice of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee described <br />1NdeJ Section (4) below. Exhibits should ~ be bound or in a 3-ring binder; maps should be folded to 8 112" X 1 1 "or 8 12"X 14" size. To <br />expedite processing, please provide the information in the forma[ and order described in this form. <br />Type or pript ckarly, in the space provided, ALL iptormatiop requested below. <br />1. Applicsntlocerator or rnmpanv name (name'~to be used on permit): LAFi4RGE WG_Si ~ ~l"_. ~~ <br />i. I T57re of organization (corporation, paMership, etc.): CnRR'1P.tkTO ~ <br />2. Operation name (pit, wipe or site palrle): ~M~ C2Tl•ICl/~F~MINI/ <br />3. Permitted aereaae (new or eaiatine aka): <br />3,t Change N acreage (+) <br />3.2 Total acreage N Permit area <br />4. Fees: ~ <br />4.1 New Application i <br />4.2 New QUBny Application <br />4.4 Ameadment Fee - ~ <br />i <br />4.5 Conversion to 112 operation (set by siatu[e) <br />I <br />i. Primary rnmmodkiefa) to be mined: SAnlnlt ~QAV€L____ <br />~3m. 5 permitted act <br />acres <br />'~~6.5 acres <br />$2.344.00 <br />$2.906.00 <br />$1 938.00 <br />$2344.0(1 <br />application fce <br />gttarty application <br />amendment fee <br />conversion fee <br />5.1 Incidental cortunfditie(s) to he mined: l . - ibsll'onslvr 2. / Ibs/i'onsAT <br />I <br />3. / IbslConshT 4. / Ibs/fons/yr 5. / Ibsffonslvr <br />i <br />5.2 Anticipated end use of primary commoditie(s) to be mined: BUILD I N(t MA1EgJALS <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />• <br />oRiLY; or <br />Mitred land Reclamation <br />Active and InaUive Mitres o cal Survey <br />"``~°` RECEIVE `~~ <br />~ur~ 3 o coos <br />~livisipn at fidiaaak Csllpsy <br />