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<br /> <br />STATE <br /> <br />OF ~,r-~~~ -o y ~ <br />,P~p1~~~TO ~a,3ys~.~ <br />COLORADO <br />DIVISION OF MI~~IERALS AND GEOLOGY ED <br />Department of Natural Resources FiECEI~ <br />1373 Sherman St., Room 215 <br />Denver, Colorado 80203 /t q ~ / <br />AUG 2 7 2~'O2 <br />D t v t 5 t o N o f <br />Phone: (303) 866-3567 MINERAL 5 <br />FAX: (303) 832-8106 <br />E COPY <br />~I~ - <br />Division of Minerals and Gealagy & <br />G E O L O G Y <br />. <br />r <br />ING <br />NN CONSTRUCTION MATERIALS ~ R E C L A M A T I O N <br />MINING•SAFETY <br />®R wA~ REGULAR (112) OPERATION <br />_ <br />-~_ <br />_ ~~.AMATION PERMIT APPLICATIO N FORM Bill Owens <br /> Governor <br />, ~ Greg E. Walther <br /> Executive Director <br />CHECK ONE: X New P_pplication (Rule 1.4.5) _ Amendment Applicafion (Rule 1.1 ichael B. Long <br />~ivision Director <br />Conversion Application (Rule 1.11) <br />Permit # M -tea '_v~~ ~ (provide for Amendments and Conversions of existing permits) <br />The application fa: a Construction Iviaterials Regular 112 Operation Reclamation Peanit contains three major pazts: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical StabilityF.xhibit; and (3) the application fee. When you submit yota <br />applicafion, be sure to include one (1) complete sinned and notarized IVORY ORIGINAL and four (4) copies of the completed IvO1y <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical StabilityExhibit, and a check for the . <br />application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" <br />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION INFORMATION <br />Type or print cleazly, in the space provided, ALL information requested below. <br />ApplicanVooerator or company name (name to be used on permit): Ran rh T, an r'3 T.T. ~ '~ <br />1.1 Type of organizaflon (corporafion, partnership, etcJ: <br />1.2 I.R.S. Tax I.D. No. or Social Securty Number: $ji _ 1 ~r4 ~i F, 1 1 <br />Operation name (pit, mine or site name): Ran r h T an d Rn rk Pit ~] / <br />Permitted acreage (new or existin¢ site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit azea <br />Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by4statu~te)/ <br />Primary commoditie(s) to be mined: D e C 1 V 2 <br />5.1 Incidental commoditie(s) to be awned: 1. - lbs/'I'ons/vr <br />3. / lbs/Tons/vr 4. / lbslpons/vr <br />~L~O permitted acres <br />acres <br />64o acres <br />$2.344.00 <br />$2.906.00 <br />$1.938.00 <br />/ 2 344 <br />~lr+~¢S7~xa Sok-d) ~ Gvac~c( <br />landscape rock <br />application fee <br />quarry application <br />amendment fee <br />conversion fee <br />~H~F/~ <br />2. / Ibs~l'ons/vr <br />5. / ]bslI'ons/vr <br />5.2 Anicipated end use of primazy commoditie(s) to be mined: , <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />