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TATE OF <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl of Natural Resources <br />1713 Sherman $I., Room 215 <br />Denver, Colorado 80203 <br />Phone: (3071 8663567 <br />FA%'1303183?-B10b <br />MATERIALS <br />COLORADO <br />RECEIVED <br />MAY 2 2 1997 <br />II~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />LIMITED IMPACT OPERATION (D'Irlljon of nAlnerals & Geology <br />RECLAMATION PERMIT APPLICATION FOR!! Ruv Romt•r <br />Governor <br />IamisS Ux hhead <br />Exx W rve Dneaor <br />Michael 8. Lung <br />Division Dvrcmr <br />CR£CK ONE: ~ New Application (Rule 1.4) Amendment Application (C.R.S. 34-32.5-110) <br />Conversion Application (Rule 1.11) <br />Permit # _- - -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Construction Materials Limited impact Hining (110) Operation Reclamation <br />Permit contains three major parts: (1) the application form; (2) Exhibits A-J and Exhibit L, <br />Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the <br />Office, and outlined in Rules 6. 1, 6.2, 6.3, and 6.5; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL <br />and one (1) copy of the completed ivory application form, two (2) copies of Exhibits A-J and <br />Exhibit L, appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check <br />for the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring <br />binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, <br />please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION M-~~I - D~ J <br />Type or print clearly, in the space provided, all information described below. <br />---------------------------------------------------------------------------------------------- <br />1. A licant o rator or com an name name to be used on rmit <br />PaR/1 mu.v7 v man w liR/D/'F <br />1.1 Type of organization (corporation, partnership, etc.): COlriyrY /(OAO % /1 i4/b4 E <br />1.2 I.R.S. Tax ID No. or Social Security Number: g'y-6000- 79~ <br />2. Operation name (pit, mine or site name): CFJAPitRKA,L #k2. <br />3. Permitted acreage ne or existing site): ~. 7 ~ permitted acres <br />3.1 Change in acreage (+ or -) acres <br />Total Acreage in Permit Area 7. 7.ti acres <br />4. Fees: <br />4.1 New Application 5875.00 application fee <br /> Amendment Fee (C.R.S. 34-32.5-125(II)) 5575.00 application fee t" <br />4.2 Conversion Fee (from 110d to 110 5875.00 conversion fee (Rule 1.11.2(2)) <br /> s <br />DP <br />5. Primary commoditie(s) to be mined: <br />r uN <br />5.1 Incidental commoditie(s) to be mined: 1. PiT RtIN - a?SODD lbs! ocn, /vr <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ROA o /I~R/NTENi~NC E <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: /QoAb /N/LlNrENANCE <br />