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~~~v <br />;~,c.f'Jmi ~ctt <br />STATE OF COLORADO <br />DIVISION OF RECLAMA710N, MINING AND SAFETY r/ RECEIVED <br />Department of Natural Resources ~~ <br />1313 Sherman Si., Room 215 DEC 2 6 2006 <br />v <br />C O L O R A D O <br />Denver, Colorado 80203 °~ v' s i o N o r <br />Phone: (30318663567 1 sion of Reclamation, <br />CONSTRUCI'iON MATERL~~ RECLAMATION <br />FAX: (303) 832-8106 Mining and Safety <br />O M [ N ING <br /> REGULAR (11Z) <br />PERATION -&- <br /> RECLAIDIATION PERb1IT' APPLICATION FORM SAFETY <br />em o„-en. <br />Governor <br />CHECK ONF: There is a File Number Already Assigned to this Operation Rn~seu ccorge <br />Permit # }1'I - `/ ive nireaor <br />-~-_ (Please reference the file number currently assigned to this opera(YSSi~ <br />Ronald W. Caltany <br />New Application (Rule 1.4.5) _ Amendment Application (Rule L 10) Division Director <br />Cornw~ersion Application (Rule 1. t 1) Natural Reworce Trustee <br />Pemrit ?? ~1 - chi ¢._-1~~~- (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of kixhibit G.5 (Geotechnical Stability F;xhibit; and (3) the application fee. When you <br />submit your application, be erne to include one (1) corrmlete sitmed and notarized ORIGINAL and one (I) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendtun 1, appropriate sections ofG.S (Geotechnical Stability Exhibit, anda check far <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 I!2" X I 1 " or 8 L/2" X 14"size. To expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION INFORMATTON <br />Type or print clearly, in the space provided, ALI, information requested below. <br />1. Aoolicant/ooerator or corooanv name (name to be used on cermitk: ,~1~~-*F _l~ll-~j,j.NG_ ~ __ <br />1.1 'type of organization (corporation, partnersl»p, etc.): _ '~$'Q(~QEF~(~?J <br />2. Operation name (oit. mine or site name): N1 t~ NI I N~. __.___-_ <br />3. Permitted acreaee (new or existine site): <br />tL <br />~5.~ <br />_ 2$ .344.00 <br />$2,90G.00 <br />~l 93R.00 <br />_, 2 344.00 _ <br />2. -=--- <br />permitted acres <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 Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: ~"Y"~ ___ <br />S.l lnciden[al cotr)moditie(s} to be mined: 1. _.______.___,.____ Ibs/1'ons/xr <br />3. __-- /-_--- IbsTfons/vr 4. __ J Ibs/Tons1Y7 <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />_ acres <br />acres <br />application fee <br />quarry application <br />amendment fee <br />conversion fee <br />--lbs!Tons/~ <br />5. 1bstTons/yr <br />C)ttlCf; Ot Dttlrf' O( <br />Mined Land Ree;Iamation Active and Inactive Mines <br />