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~~©~,~~ <br />~~~ <br />~~(`tU~ DIVISION Of RECLAMATION, MINING AND SAFETY L~ <br />1 I ~ Depaltrnerl of \aWral Resources <br />1313 Sherman SL. Room Zt5 <br />Demrr, Colorado 892D3 <br />?hone: (30378fi(id5fii r~i~ <br />FAX: (303) 832$106 ~,. ~ ~a <br />~~8 ~a`lon, <br />~_t;,, a»d5 <br />O 1o1Sr~ <br />STATE OF COLORADQ <br />~ 1 <br />no-1 ~~~~ <br />~~ <br /> <br />'CONSTRUCTION MATERIAIS <br />LIhIITED LLrIPACT (110) OPERATION <br />COLORADO <br />n 1415104 Of <br />RECLAMATION <br />MINING <br />SA ETY <br />8i11 Owens <br />c~remu. <br />C+` RECLA:~TATION PERhIIT APPLICATION FOIL11 Russe(I Georga <br />Esmlive 6ireaar <br />Rone7d W. Canany <br />CHECK ONF,: There is a F51e Number Already Assigned to this Operation olxisbn os,eaol <br />Natural Resource Tnntee <br />Pemvt ff M -_ ~ _ (Please re&rence the file number curtently assigned to this operation) <br />New Application (Rote 1.4.5} Amendment Applicatioo (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit t! H - _ (provide for Armndments and Conversions of existing pemvts) <br />The application for a Construction Materials Limited Irrgmct (110) Operation Reclamation Pemut contains three major parts: (I) the <br />application form (2) Exhibits A-1, Exhibit L, Addendmn I, aw sections of Exiubit 6.5 and Geotechnical Stability Exhibit, as required <br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 7.6.2(lxb);and (3}the application fee. When you submit your application, be <br />slue to include one (i) cottmiete si€sed and notarized ORIGINAL and oru (I) copy oftbe completed application fomt, two (2) copies <br />of Exhibits A-1, Exhibit L, Addendtun I, oral appropriate sections of 6.5 (Geouchnical Stability Exhibit), as required, and a cluck for <br />the application fee described tinder (4) below. Exhibiu should NOT be bound or in a 3-ring binder; maps should be folded to S 1/2" X <br />11" or 7s l/2" X 14" size. To expediu processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the spaee provided, ALL information described below. <br />~' Sand a+~d Gr2 <br />t. Annlicant/ocerator or mmwnv natce fnattre to be used on certratl: ~~ <br />1.1 Type of organization (corporation, pannershiq etc.): GO/'~b r~ O/1 <br />2. Omratioa norm loll. mine or site Dame): Nla./~t /l~ <br />3. Permitted atreaae (new or eristine site): ~. 9_ pemmtted acres <br />3.1 ('hange in acreage (*) _ N 4 acres <br />3.2 Total Acreage in Permir Area ",v ~ ^ ~ ~ ~ ~~ ~ 9 ~ 9 -acres <br />4. Fees: <br />4.1 New Application: FF~ O I ~~0~ $t 094.00 application fee <br />Amendment Fee (C.R.S. 34-32.5-125(II)g - ~ oaiion, $7!9.00 application fee <br />Di`. ' <br />4.2 Conversion Fee (from I I Od to 110 X75_00 conversion fee.(Rule(I}i P:2(i)~ <br />S. Pria~ry mmmoditiefsl to be mimd: 8v3"1~S ~¢. roGk <br />5.1 Incidental cotimtodidc(sj to be ntiued: 1. Ibsffons,%vr 2. f IbslTons/vr 3_ _ r Ibs/('ons%vr <br />4. 1 IbsTons/yr 5. lbs,TonshT <br />5.2 Anticipated eats use of primary corrmtoeiitie(s)tobemined: L2rt~GCa'D~nAi Eras,on C~~-ro~ <br />-~T <br />Anticipated efal use of incidental cormrmditie(s) to be mined: ~ ^ ~ 5 ern 1 r.~_ <br />Office of Office of <br />Mined land Reclanwtion Active and Inaoi.ro Mims <br />