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TATE <br />~ 1,438.E <br />,~~ 4a3~ <br />)RADO <br />DIVISION OP MINERALS AND GEOLOGY - -- " ""' <br />Department of Natural Resources FILE COPY <br />1373 Sherman St., Room 275 JAN 2 9 20Q3 '~ <br />Denver, Colorado 80203 FOR SCANN/NG <br />Phone: (303j 866-3567 Division of Minerals and Geology <br />EAX~. (303) 832>8106 <br />CONSTRUCTIONiVIATERIAIS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT:iPPL1CATION FOR~YI <br />DIVISION OF <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAEETY <br />eil I Owens <br />Goeernor <br />Greg E \Nalcher <br />Exe-.mive Director <br />CI~CI; On;E: There is a Pile Number Already Assigned to ibis Operation Ronald w. caC.any <br />Permit # M - 98 - D/4 -_ (Please reference the Sle number currendy assigned to this operation) Acting Division Director <br />New Application (Rule 1.4.5) / Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) / <br />Permit # M -~- O 14 ~ (provide for Amendments and Conversions of existing permit) ~ rn - ' v <br />The apphcation for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhtbits A-S, Addendum I, any sections of Exhibit 65 (Geotechnical StabiliTy Exlul»t; and (3) the application fee. When you submit your <br />applicaton, be stns to include one (1) complete siened and notarized IV ORY ORIGINAL and one (1) copy of the completed I~ application <br />form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geoteclmical Stability Exhibit, and a check for the application <br />fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 I/2" X 11" or 8 112" <br />X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br /> GE'NERAI.OPERATIONINFORMATION <br />Type or print clearly, in the space provided, ALL informafion requested below. <br />I. Ann licantlooerator or comoany name (name to be used on cermfrl: L AFA.P6E N/EST_ tiyG. <br /> 1.1 Type of organization (corporation, partnership, etc.): ~D/G~~o~ian <br /> 1.2 I.RS. Tax I.B. No. or Social Security Number: 25 - /S3/2 9,$ <br /> <br /> Operation name (nit, mine or site Hamel: GYPSUM ,QANCN atPN /B PT / <br />3. Periritted acreage (new or eaistine aitel: /20. 94 permitted acres <br /> 3. ] Cbange in acreage (+) ,~4. /03 acres <br /> 3.2 Total acreage in Permit area /SS. 57 acres <br />4. Fees: <br /> 4.1 New Application $2.344.00 application fee <br /> 4.2 New Qaarry Application $2 9 6.00 quarry application <br /> 4.4 Amendment Fee $1938 amendment fee <br /> 4.5 Conversion to 112 operation (set by statute) $2.344.00 conversion fee <br />5. Primary contmoditle(s) to be mined: end C7/ctt/GI <br /> 5.1 Incidental wmmoditie(s) to be mined: 1. - Ibs/fons/vr 2. / lbslTons(vr <br /> 3. ! Ibs/Tons/vr 4. / lbs/Tonsh'r 5. / 1bslTons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: LonS'~/UC~%on Ma ~~rict ~S <br /> 5.3 Anticipated ens rise pf incidental commpditie(s) to be mines: N A. <br />