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<br />DIVISION OF MINERALS AND GEOLOGY <br />Departmem nl Natural Resources <br />131 J Sherman 51., Room ? 18 <br />Denver, Colorado 80203 <br />Phone: 17071 8667567 <br />FA%~ 13031 871 8106 <br />III IIIIIIIIIIIIIIII~F ~ <br />999 <br />L• <br />~e ~ ~ y ~ z fiECEI <br />G fit, ~~ 0 Z <br />AUG 2 6 <br />CONSTRIICTZON NATEA S OIV. OF MIS <br />REGIILAR (112) OPERA 8 GEOLC <br />CHECK ONE: New Application (Rule 1.4.5) _~ Amendment <br />LORADO <br />~~' <br />DEPARTMENT OE <br />NATURAL <br />RESOURCE <br />E+eueme Dneaoi <br />M¢hael B. Long <br />Division Dirttror <br />ication (Rule 1.10) <br />Coavereioa Application (Rule 1.11) <br />Permit # A'1 _ SS _ 026 __ (provide for Amaadmaat and Coayeraioae of <br />existing permits) <br />The application for a Construction Materials Regular 112 Operation Recle <br />three major parts: (11 the application form; (2) Exhibits A-S, Addenr <br />Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee <br />application, be sure to include one (1) complete signed and notarized ZYOP <br />copies of the completed Ivory application form, five (5) copies of Exh <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check <br />described under Section (9) below. Exhibits should NOT be bound or in <br />should be folded to 8 1/2^ X 11" or 8 1/2" X 14" size. To expedite pros <br />the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, ALL ialormatioa <br />-- ------------------------------------------------ <br />1. Applicant/operator or company name (aama to be used oa permit): <br />1.1 Type of organization (corporation, partnership, etc.): ~.D.L <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. eratioa aama it mine or eit• acme Challenger Pit <br />Permitted acreage (naw or exietia4 ^itel: _ <br />3.1 Change in acreage (+ or -) <br />3.2 Total acreage in Permit area <br />lion Permit contains <br />1 1, any sections of <br />When you submit your <br />)AIGINAL and four (4) <br />i.ts A-S, Addendum 1, <br />the application fee <br />3-ring binder; maps <br />sing, please provide <br />~sGd below. <br />------------------ <br />permitted acres <br />acres <br />acres <br />4. Feee: <br />4 .1 New Application 1 87 .00 application fee <br />4 .2 New Quarry Application 2 325.0 quarry application <br />4 .3 Milling Application (Non-DMO) 3 100.00 milling application <br />4 .4 Amendment Fee 1 50.00 amendment fee <br />4 .5 Conversion to 112 operation (set by statute) 1 8 5.00 conversion fee <br />5. Primar y commoditie(s) eo be mined: sand gravel <br />5 .1 Incidental commoditie(s) to be mined: 1. - 100 000 lbs Tons/ r <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/ r <br /> 4. / lbs/Tons/yr 5. / lbs/Tons/ r <br />5. 2 Anticipated end use of primary commoditie(s) to be mined: <br /> <br />5. 3 Anticipated end use of incidental commoditie(s) to be mined: <br />