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III IIIIIIIIIIIIIIII ~ <br />STATE OF <br />~ ~s~~ <br />COLORADO~s~ <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmr•rn of Naval Resources <br />I i l f ]herman 51., Rnum ? 1 5 <br />Denver. G~lurado k0?03 <br />Phone. 131171 U66.35b: <br />Fox luroai_-glob <br />CONSTRUCTION MATERIALS <br />REGULAR(112)OPERATION I(IN ZQQQ <br />~~ <br />DIVISION O F <br />MINERALS; <br />GEOLOGY <br />0.ECLAMATION <br />MINING•SAFETY <br />RECLAMATION PERMIT APPLICATION FORM ell owes <br />Ic ~ J~~9Y Governor <br />QIVISi:{I pi ftllRQld~~ Creq E walche~ <br />E.eculive Dvedor <br />CHECK ONE: New A lication Rule 1.4.5) XXX Amendment A lication (Rule I.10"icnael e. tong <br />- PP ( PP ~i~ision Drteclor <br />_ Conversion Application (Rule I.1 I I <br />Permit# M _ 77 436 _ (provideforAmeodmeotsandConversioosofexisting permits) ' " n_~ ` <br />The application for a Conswction Mazerials Regular 112 Operarion Reclamation Permit contains three major parts: (I) the application form; <br />(2) Exhibits A-S, Addendum I, arty sections ofExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete siened and notarized IVORY ORIGINAL and four (4) copies of the completed Ivory <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <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 11" or 8 I/2" X 14" size. To expedite processing, please provide the information in the format and order described N this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, io the space provided, ALL information requested below. <br />1. AooGcaot/ooeratororcomoaovoame(nametobeusedonoermitl: CATLIS Colorado, Inc. <br />1.1 Type oforganization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. OpentioooameCoiLmineorsitettamel: Brighton nine , ~y <br />3. Permitted acreaee f new or a:istine site): ~ 130.6 permitted acres <br />3.1 Change in acreage (+) 156.3 acres <br />3.2 Tonal acreage in Permit area 287' 4 acres <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />S. Primary commoditiNSl to be mined: Sand <br />~. <br />51.875.00 application fee <br />52.325.00 quarry application <br />53.100.00 milling application <br />SI.550.00 amendment fee <br />51.875.00 conversion fee <br />Gravel Construction Fill i9aterial <br />5.1 Incidental commoditie(s) to be mined: 1. Ibs/fons/vr <br />3. / Ibs/Tons/vr 4. / Ibslfons/vr <br />5 ~ Anticipazed end use of primary commoditie(s) to be mined: Sand and <br />5.3 Anticipated end use oCincidental commoditie(s) to be mined: n /a <br />2. / Ibs/rons/vr <br />5. / Ibs/Fons/vr <br />1 for construction <br />