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/~~ l~ra <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />7313 Sherman St., Room 215 <br />Denver, Colorado 80203 ~+ C <br />FAXn (303) 8132.8131 ~+~ ~ V C D <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />NOV 2 B 2005 ZLECLAMATION PERMTI' APPLICATION FORM <br />Division of Minerals and Gealagy <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />Permit # ~vf -_•_ _ (Please reference the file ntmmber cturenily assigned to this operation) <br />New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) <br />Conversion Application (Rtile 1.11) <br />Permit # M -_ -_ (provide for Amendments end Converoiona of existing permits) <br />COLORADO <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RE CLAMATIO N•NIN LNG <br />SAf ETY•SCIENC! <br />elll OWP.fIS <br />Goverrxx <br />Russell George <br />Executive Director <br />Ronald W. Cottony <br />Division Director <br />Nmu21 Resourc Trustee <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three majarparts: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, a~ sections ofExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fce. Wbenyou snbmityour <br />application, be sure to include one (1) complete sieved and notarized ORIGINAL and one (1) copy ofthe completed applicationform,troo (2) <br />copies ofExlubits A-S, Addendum I, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee described <br />under Section (4) below. Exhibits should DoT be bound or in a 3-ring binder, maps should befolded to 8 1 /2" X 11" or 8112" X 14"size. To <br />expedite processing, please provide the information in the format and order described in this form. <br /> GENERAL OPERATION INFORMATION <br />Type or print clearly, 6s the apace prorided, ALL, luformation requested below. <br />1. ADp licantlooerator or comnanv name (name to be need on oermitl: ~ /~CEK c SL.I Gro.,, ~nl l/ <br /> I.1 Type of organization (corporation, Partnership, etc.): d~ Vn »<aJ ~.,..,...; , ~" r.~ /~~. . t~u~,-~:i <br /> P <br />r <br />2. r%F <br />OneraNon name (nit~mine or site Hamel: !~1 /o_~n <br />5 <br />3. Permitted acreage (new or erdatinR site): 3 5 • ~ l , permitted acres <br /> 3.1 Change in acreage (+) ~' acres <br /> 3.2 Total acreage in Permit area 3 S. 5/ acres <br />4. Fees: <br /> 4.1 New Application $2.344.00 application fee <br /> 4.2 New Quarry Application $2.906.00 quarry application <br /> 4.4 Amendm~tFee $1.938.00 amendment fee <br /> 4.5 sta <br />tute) <br />Conversion to 112 operation (set by $2.344.00 conversion fee <br />5. P[t ~ <br />~ <br />~ ~ ~ <br />marV commoditie(s) t0 be IDLled: ~1_ <br />. . <br /> <br />5.1 <br />Incidental commoditie(s) to be mined: 1. !~ ~+'d''~ lbs'1'ro I <br />n 2r"f'~' / ~ U lb <br />' ° r <br /> 3. / ]bs/TonsfXr 4. / lbs/fo nsyr 5. / lbs/foDShr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: ~ ~ ~Jti S <br /> 5.3 Anticipated end »se of incidental commoditie(s) to be mined• ~ .,x6 1'ivG~„~rr~-S <br />Colorado <br />