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/ 11 11 V t/1 \..V Lr~l1 K 1L.J V <br />DIVISION OF MINERALS AND GEOLOGY <br />oep><aneito/NaMalReaaaas f" ~ ao 0 C I,,RECEIVED coLO\ <br />1313 Shannon SL, Room 215 <br />Denver, C.atuado Q0Z03 nrl~ n 7 ~~ DIVISION O F <br />qmm pp37 ~.3,sbr CONSTRIICTION MATERiALR IJGI. 11 ! ~ M I N FORA L S <br />FAx: D03) 032$ta6 REG)7LAR (112) OPELtAT10N Division of Minerals and Geolasy G E O o O G Y <br />r~~ (~ ~ REfZAMATiONYERINl't'APPLICATIONFOBM urarr.,aa~ca <br />~~trti~ ~ / <br />em owem <br />~Q~,CA- ~ <br />C71FCK ONF 7Lerc iF a FOe Number AlFrady ApiROed to thls OperNioe <br />RweR GaaM <br />Permit N M -_ _-_ (Phase reference the fik wmbc gmently assignod tD this operation) t10°Od`e °t1eC° <br />Rarold w. pmnF <br />New' Application (Ruk 1.4.5) ____ Ameadmeut Applicatiot (Rule 1.10) pHev,, per, <br />_____ Coevenba Application (Ruk 1, l l) Naeud Resaaaa rmaae <br />Permit S ~Iv _-; _ (provide foa AuKDdoNats and Coaversbus of aristing permits) <br />The application fa a Coosnuction Materials Regular 112 Operation ReclematioD Permit contains three majes•parts: (1) the epplicationfarm; <br />(2) Exhibits A-S, Adderldtun 1, arty sections of Exhibit 6.5 (Geotcehnical Stability Exhibit; and (3) the applicatien fce. When you submityour <br />application. be sure to include on (1) coDwlde sig~g~d~Q[iaed ORIGINAL end one (1) copy of the completed applicatialfnrtn,two (2) <br />copies of Exhibits A-S, Addenhlm 1, appropriate sections of 6,5 (Geotechoical Stability Exhibit, and a cheek for the application fee described <br />order Segion (4) below. Exhibits should ]YQf be baled err in a 3-riogburdc, maps shotildbe folded to 812" X 11" or 812• X 14' doe. To <br />expedite processing, Please provide the ioformatian in the format and order described m this fam. <br />GENERAL OPERATION INFORMATION <br />Type or prlut clearly, to the space pFavlded, I~.L lotormatlon rcgoested below. <br />1. AtroliuaNooerator or osmoauv acme (same to be nsM en oerml8: <br />1.1 Type of arganiietion (catpcxatioq partnership, etc.): GYI~',pG! gTJGh , ~ <br />2. ODtxatloooame(DN.mbaeorikeoame): __ ~.O/~I/7~ ~rClyG'/ ~ij~ /11p, 3 <br />3. ~rmltted akrea[e (ncsv or e><Istiac ske): ~ permitted acres <br />3.l Change in acreage (+) aeres <br />3.2 Total acreage in Permit area,~3`1'~ G aces <br />4. ~: <br />4.1 New Applicetial 52.344.00 applicatienfee <br />4.2 New Quarry Application ~ _906.00 quarry applicmial <br />4.4 Amwdnlent Fee 938. arnerdotem fee <br />4.5 Conversion W 112 operation (set by statute) 52344.00 coaversieD fce <br />5. Prlmarv eourmodkk(s) to be mlued: ~~ ~ ' <br />5.1 Lxad®tal commoditie(s) m be mined: 71.i~~lfi/`/a -~~"-GAD v z~7rb /.~s/.Saoo ll> ~an~wr <br />3. / lbs/fons/vr 4. ( Ibs/fany[yf 5. / Ibs/fms/)q <br />5.2 Anticipated cod use of primary stie(s) W be mined: ~O/ISfJ'dCG'~/~~/9 If~I~~fY/ld~_~ <br />5.3 Anticipated cod use of incidtaltal commmoditie(s) to be mined: /il SGA ,69c° !1/CI/i~~~S <br />omce of Omce of coioodo <br />Mined land ReclarrWlon Adve and InaAive Mines C,eobgkal Survey <br />