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STATE OF COLORADO <br />DIWSION OF RCCLAMATION, M!NlNG AND SAFETY ry '~' ~ ~ ~ ~® <br />~ <br />~' ~ <br />~ <br />Departmrent of `Mural Resources " <br />~"' <br />` <br />t373 Shemran St, Room 2t 5 JUL 2 !! 2007 C O L O R A D O <br />Denver, Colorado B02m3 <br />DIVISION O f <br />Phone: (303) 666-3567 Division of Reclamation RECLAMATION <br />FAx: t3o3) 63zat o6 , <br />Mining and Safety MIN [ N G <br /> - &- <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> LIMITEllIMPACT(I10)OPERATION gillOv+ens <br /> Governor <br /> RECLAMATION PERMIT APPLICATION FORiRiI1 &usse~l Gmrse <br /> tzM„fvn DirCCtpr <br /> Ronald W. Canany <br />CHECK ONF.: There is a E'ile Number Already Assigned to this Operation bivision Direrror <br /> Natural Resource TryNee <br />Pemilt # M -_ , ~ (Please reference the file nttmber currently assigned [o this operation) <br /> New Application (Rule 1.4.5) Amendment Applica[ioa (Rule L l0) <br /> Convers <br />i <br />on Applicati <br />on (Rule 1.11) <br />Petmit # ~~ <br />// <br />CC <br />M -G~~ ~Jd (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (t) the <br />applicalion form; (2) Exhibits A-I, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechuical Stability Exhibit, as required <br />by the Offece, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 7.6.2(t)(b); and (3) the application fee. Wiren you submityourapplication, be <br />sure to include one (1) comalet~e sighted and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendtnn (,and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />• the application Fee described under (4}below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8 1/2" X <br />1 i" 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 clearly, in [he space provided, ALL informatian described below. <br />L <br /> <br />2. Aoolicant/ooerator or comoanv name (name to be used on cerodtl: Y o c a m S t o n <br />1.1 Type of organization (corporation, partnership, etc.): Limited Liability <br />Uperation name ipi4 mine or site name): P. tt f f a l o Stone O u a r r Y e ~, L P <br />Partnership <br />3. Permitted aereaee (new or existing site): 9 . 6 ,permitted acres <br /> 3.1 Change in acreage (~+) acres <br /> 3.2 Total Acreage in Perrrtit Area ,q, 6~ acres <br />4. Fees: <br /> 4.1 New Application: 51.094A0 application fee <br /> Amendtttent Fee (C.R.S. 34-32.5-125(I[)): 779.00 application fee <br /> 4.2 Conversion Fee (from 1104 to 110 X75_00 conversion fee (Rule 1.11.2(2)) <br />5. Primary commoditiefsl to be mined: R u i l d i n p, stone l a n d s c a D i n P roc k <br /> 5.1 Incidental commoditie(s) to be mined: i. / Ibs/Tonswr 2, / Ibsll'onsl vr 3. / tbsr['onslyr <br /> 4.__I lbs/Tons~ 5. / lbs/fons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: B u i l d i n g stone L a n d s c a p i n P, r o c <br /> Anticipated god use ofutcidental commodities} to be mined: <br />• ____ ~ ____,___,_v_ <br /> OHicr of Office o! <br />Mined Land Reclama(ion Active and Inactive Mines <br />