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,. ~~~~ ,~IZ3lo~ ~CM-~ o07-~Oe/~5~ <br />` REC~1~ E ~r C~I.~l~! ~LJ~ <br />nrvIS1oN Of R[LtAAiA7toN, wNlNC AND SAFETY ~R Z2 3 2007 <br />(`~~'`~ Deparmter,t of tlatural Resources <br />-'" ~ 1373 Sherman St., Room Z15 ~~',~A~ /,/~ - <br />t3enver cobado eozo3 DiviMMi~o~n of~a~R~~e~~clGGamahtion, c o 1. o R A D o <br />Phone: 1303} 866.3567 CON5TRli~Idip~1~ALS MAR O b' {~ REC'L SAINATIOIV <br />FAx: poi; a3zato6 n <br />REGULAR (112) OPERATION DivMig~i~o~n ~ J MINING <br />SCANN~~'4T[ONPEI4iiITAPPLICATIO\ FDR'tlantlga~7'~°n. SA fETY <br />e, y <br />aai owe,. <br />Go~+ervn <br />GfIECK ONE: There,is a File Number Already Aseigced to thu Operation R~swu ~~ <br />Pemdt p M' -;. "^`~ y gned opr ~"'e otreCO• <br />`f ~~ (Please referencr the file number curten0 ~ assi to this m <br />-.-~-~- <br />Near A Itcation Rule 1.4.5 Atcendment A hcation Ruk 1.t0 a~a w c <br />-X- Pp ~ ( ) PP ~ ( ) . a~;d, Direct« <br />Conversion Application (Rule 1.11) wn,rd Rewurce tnatee <br />Permit t? tr_I -_ -_ (provide for Amendments arld Conversions of existing pemtits) <br />The application for a Coasuttction Materials Regular 1 l2 Operation Reclamation Permit contaim three major parts: (1) the application <br />form; (2) Exhibits A-S, Addctdtmt t, any sections of Exhibi[ 6.5 (Geotechnicai Stability Exhtbif;and (3}the applicaton fee. Whrn you <br />submit your application, be sure to inchtde one (1) conmlIXe sicced and notarrted ORIGINAL attd oce (I) copy of the compkLed <br />application form, two (2) copies of Exln-bits AS, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exiubit, and s checkfar <br />the application fee described tinder Section (4}below. Exhibits should N~(T be bowtd or in a 3-ring binder, maps should be folded w <br />g 1,'"2" X t 1" or 8 lit" X 14" sfze. To expedite processing, please provide the infomution in the format and order described m this form <br />GENERAL OPERATION fNFORMATION <br />Type or print clearly, in the span provided, AI.L information requested blow. <br />1. Aooltcantlacerator or comoanv Haase (name to be need on cermitl: ~. P V ~~ Co~l.}~„~__ <br />1.1 Type ofargauiration (corporation, partnership!, etc.): 1.,,,.,~,rED L.na,.~ ~~mriPdtt-'naJ <br />2. Oceratloa aaaae (cit. adore or site aannt: rJ~f ~ANnaF Q~s22Y <br />3. Permitted aereaae /new or existl~ site): d pemtitted acres <br />3. [ Change in acreage (i-) <br />3.2 Total acreage in Pemut area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fre <br />4.5 Conversion W 112 operation (se[ by statute) <br />o acres <br />175 31 acres <br />52.344.Q0 application fee <br />52.9(16.00 quarty application <br />$I.93g.00 amendment fee <br />.!2.344.00 conversion fee <br />5. Prirnarv mmmodi[fe(a) to be mined: LIMtSTaAIE GnAarr£ Scwa7rAVE. ~pp~p~~_yc,~ <br />5.1 Ittcidental cotmroditie(s) to be mined: 1. _Q - ___Ibs/Tonsyr 2. ~ % ____ Ibs.Tonsyt <br />3. _._~/ __ tbsToosvr 4. ~ / LbsTovslyr 5. ~_ ! lbslfons'yr <br />5.2 Anticipated erxl use of primary commoditie(s) to be mined: Co-aSTP.xanrJ ~ ~~bXt1P.iJ4 Mo.~ rMST_ <br />5.3 Anticipated end use of incidrntal commoditie(s) to be mined: ____~ IJ) p <br />ice of CNfice of <br />Mined Land Ralamation AAiue and Inactive Mines <br />