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IIIIIIIIIIIIIIIIIII ~ ~ 5~~~1 <br />aTATE OF COLORADO <br />DIVISION OE MINERALS AND GEOLOGY <br />D~•p.ll rnlrnl ni N,vural Reeuurcea <br />I { 1 ; lhrvrmen SI , Ruom _' 1 <br />D.~nvcr. inloradu flU2U5 <br />Phunr: I pI,41 I;qn- SiM: <br />CONSTRUCTION MATERIALS <br />RECEIVED <br />FEB 18 2000 <br />pivlaon of Minerals & GI <br />~~ <br />D I V I S I D N U F O <br />I~fINERALS <br />I <br />GEOLOGY <br />RECLAMATION <br />HINING•$AFETY~ <br />LIMITED IMPACT (l10) OPERATION n~u o..,. n, <br />Governor <br />RECLAMATION PERMIT APPLICATION FORM Greta E \wtr net <br />E"ecuuve Dueuur <br />nlicharl a LnnG <br />Drvi•wn Duccmr <br />CHECK ONE: New Application (Rule 1.4) ~ Conversion Application (Rule I.I 1) <br />X Amendment Application (C.R.S. 34-32.5-110) <br />78 051 <br />Permit 1# M -_ _ _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Mazerials Limited Impact (l 10) Operation Reclamation Permit contains three major parts: (I) the application form: <br />(2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhib¢ 6.5 and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules <br />6.1, 6.2, 6.3, 6.5, and 1.6.2(l)(b); and (3) the applicarion fee. When you submit your applicazion, be sure to include one (I) complete signed and <br />notarized IVORY ORIGINAL and one (1) copy ofthe completed vo application form, two (2) copies of Exhibits A-J, Exhibit L, Addendum 1, and <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit), as requ'ved, and a check for the application fee described under (4) below. Exhibits should <br />NOT be bound or in a 3-ring binder, maps should be folded to 8 12" X 11" or 8 IR" X l4" size. To expedite processing, please provide the information <br />m the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, AtL information described below. <br />Aoolicant/ooeratororcomoaovnamefoametobeusedonoetmitl: Lincoln County <br />1.1 Type oforganization (corporation, partnership, etc.): government <br />l.2 I.R.S. Tax lD No. or Social Security Number: <br />2. Operation Dame foit, mine or site name): <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />Total Acreage in Permit Area <br />Gaede Pit <br />4. Fees: <br />4.1 New Application: <br />Amendment Fee (C.R.S. 34-32.5-125(II)): <br />4.2 Conversion Fee (from I IOd tot 10 33 7~ 00 conversion fez (Rule I.I I.?(2)) <br />5 . 5 permitted acres <br />4.4 <br />acres <br />9.9 <br />__ acres <br />875.00 application fee <br />$575.00 aeolica[ion fee <br />P^~murvcommnditier;\'•~~^'-•r Sand gravel <br />~.I incidental commoditie(s) [o be mined: I none/ Ibs(fons/vr ?. / Ibs(ionslvr 3. / IbvTons/vr <br />4. / Ibsrl'ons/vr S. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commodirie(s)tobemined: road maintenance <br />i.3 Anticipated end use of incidental commoditie(s) to be mined: none <br />