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RM'- o l <br />DfViStON OF RECLAMAitON, MtN(NG AND SAFETY SEP ~ 7 2001 ~/ ~~ j `~ <br />Deparment of Natural Resources ` ,/ <br />1373 Sherman St., Roam 21i V C O L O RA D O <br />Oemec Colorado 80203 p~g100 0( R°'" ' n t v i s i a n o r <br />Pho~: {303j 866-3567 CONSTRT;CTiOF A>~~Tp$~ RECLAMATION <br />FA%: f3n31832-8106 MINING <br />REGULAR (172) OPERATION _ ~ <br />RE'CLAb1ATION PERt11T APPLICATION FOR'11 SAFETY <br />aiu wens <br />Govemur <br />CHECK ON-E: ~_ There is a File Number Already Assigned to this Operation <br />Russell George <br />Permit # ~[ -~- ~~ (Please reference the file number currently assigned to this opemfffiff)'"r th""iOf <br />Ronald W. Callany <br />New- Application (Rule 1.4.5) ~„_ Amendment Application (Rule 1.10) pivtsion oimcmr <br />_~ Conversion Application (Rule 1.11) hmorai aesou¢ermsrcw <br />Permit H _~-71J00 -030 -~ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Rebmlar 1 l2 Operation Reclamation Permit contains three major parts: (i}the application <br />form; (2) Exhibits A-5, Addendwn 1, any sections of Exhibit 6.S (Geotechnical Stability F.xhtbit; and (3) the application fee. When you <br />submit your application, be sum to include one (1) complete siP.rred and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addtndum 1, appropriate sections of 8.5 (Geotechnical Stability Exhibit, aml 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 ro <br />8 ) ~ 2" X 1 I" or 8 112" X 14" size. "Co expedite processing, please provide the information ur the format and order descnbed in tbis form <br />GENERAL OPERATION INFORMATION <br />or print clearly. in the mace provided. ALL information requested below. <br />1. Applicantlopcrator or company name (Fame [o be used on cermitl: <br />1.1 Type of organization (corporation, pannership, etc.): C]'dE~FdC31Zt <br />2. Operation name (ntt, mine or site natne7: AY!•i~dD (~acel Pit ~ _W __.~ ___, <br />3. Permitted aereaae I new or existing site): 76.27 permitted acres <br />3, f Change in acreage (+) ____~_ _ acres <br />3.2 "f oral acreage in Yemtit area 7.56.27 acres <br />4. ~: <br />4.1 New Application $2,344 00 application fee <br />4.2 New Quarry Application $2908 00 gmrry application <br />4.4 Amendment Eee $2,229.00 i$~-~J8-6B amendment fee <br />4.5 Conversion to 112 operation (set by stanne) _ 2 344.00 conversion fee <br />S. Primary commoditiefs~ m be mitred: ___g~1 dt2 5_ ,_~ ._.__ ..__.~-.~_ ~.- <br />S.1 tncidentai commgditie(s} to be mined: i. N/A .-_,.`_- IhsTfonsfyr 2. ,_~ ! _,~ Ibs!'I'onsyr <br /> 3.__ ! _ Ibsrions/vr 4. / IbsrTansNr 5. lizs/fons/vr <br />5.2 Anticipated and use of primary commoditie(s) to be mined: '~Y olIl4tCl7Ctlm ~ ._~-.~_-_____ <br />S_3 Anticipated ernl use of ineiderttal commoditie(s) to be mined: _ ~A _-__ _.____`__y~-_ _~__ <br />Office of Office of <br />Mined Land Reclamation _ AAive and Inactive Mines <br />