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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />DePanmem ~ NaNral Resarrcrs <br />1313 Sherman St, ttoom 2ts C O L D RA D O <br />~~ COlOrado X203 <br /> <br />Phone (3031866356) ,~~ CONSTRUCTION MATERIALS DIVISION O F <br />MINERALS <br />~_ <br />PA%: (3D3) ax32~8~- REGULAR (112) OPERATION G E O L O G Y <br />/'' <br />Q-~ RECLAMAT[ONPERMI7'APPI.ICATIONFORM <br />n O <br />J~ FECLIIN~TION•NININO <br />f~[FTY•fCIENC[ <br />w~1 a"pQ~ <br />. A~e"1 <br />ned to this O <br />eration <br />Fik Number Alread <br />Arri <br />CHECK ONE <br />TlZ <br />u ealoN~ <br />c <br />p <br />y <br />S <br />,: . <br />ere <br />a wren ~EaraF <br />~Pe'iiiiiii # M -2QQ(o_-~ (Please reference the file number crurenUy assigned [o this operation) Fxrarrve Diremor <br />_ New Application (Rule 1.4.5) _/Amendmeat Application (Rule 1.10) p,,;,;o„ <br />_ Conversion Applicatiot (Rule l . l ]) NY'P'1 ttesourae 7ruaee <br />Pemtit # ~vt_- 2 O ~kiQ,Q4 (provide for Amendmeob and Converrioor of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains throe major parts: (1) the application form; <br />(2) Exhibits A-S, Addetdtmt 1, arty sections of Exhibit 65 (Geo[echnical Stability Exhibit, and (3) the application fee. Wltert you submit yonir <br />application, be sure to include one (I) complete limed and notarized ORIGINAL and one (1) copy of the complt,Ked application font, two (2) <br />copies ofExhibits A-S, Addendtm 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee described <br />tlyder Section (4) below. E~dtibits shotdd NOT be bomd ~ in a 3-ring binder; maps should be folded to 8 1 /2" X 1 I" or 8 1 /2" X 14" sve. To <br />expLdite pruces.~ing please provide the information in the format and order described in this form. <br />GENERAL OPERATON INFORMATION <br />Type or print clearly, in the rpaa provided, ~ information requested bebw. <br />l . A~,plicanUooerator or oomaanq name (name to be used on txrmit): ,M// p~ ~ S n n rl c Icx n c i L . L . ~ . <br />l .l Type of organvation (ax7xxation, partnership, etc.): L i m ~~Gd, L in.b i ~ %~ (~ DT n rn j'~ e n <br />2. Ooerationaemefoi~.mineorrite~ame): ~"tiin~rna~c{I ScLLnd,~el_evtP <br />3. Permuted acreaee (aew or eaistine aite): ____~ ~ ,~ permitted acres <br />3. t Change in acreage (+) d- S ~o~ acres <br />3.2 Total acreage in Permit area .3 7.3'7 acres <br />4. Feea: <br />4. I New Application $2.344.00 application fee <br />4.2 New Quarry Application $2.906.00 quarry application <br />4.4 Amendment Fee "Y $1.938.00 amendtrnent fee <br />4.5 Conversion to 112 operation (set by a-latme) $2.344.00 conversion fee <br />5. Pti J.. <br />marvoommoditie(r)tobembFed: ~a~b10hE rOCk <br />5.1 Incidental commoditie(s) to be mined: 1. Ibs/fons/yr 2. / Ibs/Tonshr <br /> 3. / Ibs/fonslyr 4. / Ibs/fonshr 5. / Ibs/fonsPor <br />5.2 Aniicipatedenduseofprimarymmmoditie(s)tobemined: (ensfiuc'f'ioVL or2aalg, Rr_A r~ <br />5.3 Anticipated end use of incidental commtoditie(s) [o be mined: <br /> Office of Office d Colorado <br />Mined Land Reclamation Active and Inactive Mitres Geologiral Survey <br /> P <br />