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STATE OF COLORADO <br /> ` <br />DIVISION OFRECLAMATION, MINING AND SAFETY .- - <br />Department of Natural Resources n~,,.y <br />r ~ I L LUUI <br />P' <br />7313 Sherman St., Room 275 1 <br />Denier, Colorado 80203 ~ <br />Divlaion or ~.,.a,:.~~~~.ion, C O L O R A D O <br />o l v r s r o N o r <br />Phone: (303} 8663561 lUiining and Sai~:y RECLAMATION <br />FAx:13o3i a3z-at oa M I N I N G <br /> ~- x007 ~~ SAFETY <br /> CONSTRUCTION MATERIALS <br /> LIMITEll IMPACT (110) OPERATION sill rnvens <br /> Governor <br /> RECLAMATION PERMIT APPLICATION FORM Russell George <br /> Executive DI(eQOr <br /> Ronald W. Cznzny <br />CIiECK ONE: 'There is a File Number Already Assigned to this Operation Di~i:.on Director <br /> tda[urai Resource Trustee <br />Pemtit # M -_ _ _ (Please reference the file number currently assigned to this operation) <br />X New Application (Rule 1.4.5) Amendment Application (R ule 1.10) <br /> Conversion Application (Rule 1.11) <br />Permit 1J M -__ __ (provide for Amendments and Conversions of exis ting permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (I }the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnicai Stability Exhibit, as required <br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3}the application fee. When you submit your application, be <br />sure [o include one (1) complete signed and notarized ORIGINAL and one (1) copy ofthe completed application form, Rvo (2) copies <br />of Exhibits A-1, Exhibi[ L, Addendum I, 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 shouldbe folded to 8 1/2" X <br />11" or 8 lit" 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 the space provided, ALL information described below. <br />t. ApplicanUoperator or company name (name to be used on permit): Colowyo Coal Company L. P. <br />LI Type oforganiza[ion (corporation, partnership, etc.): Corporation _ <br />2. Operation name (pit, mine or site name): Neilson Pit <br />3. Permitted acreage (new or existing site): $' 7S permitted acres <br />3.1 Change in acreage (+) awes <br />3.2 'total Acreage in Permit Area _ acres <br />4. Foes: <br />4.1 New Application: $1 094,00 application fee <br />Amendment Pee (C.R.S. 34-32.5-125([1)): X719.00 application fee <br />4.2 Conversion Fee (from I lOd to 110 ~8J 5.00 conversion fee (Rule 1.11.2(2)) <br />5. Primary commodifie(s) to be mined: Scoria <br />5.1 Incidental commodities} to be mined: I. / Ibs/'fons/vr 2. _ ( Ibs(Tonslyr 3. _ i lbs/Tons/vr <br />4. _ / 1bstTons/vr 5. / lbsffons/vr <br />5.2 Amicipated end use of primary commoditie(s) to be mined: Road Base _ <br />Anticipated end use of incidenta] armmoditie(s) to be mined: <br />OHic>? of Office of <br />Mined Land Rc~raamatiun Active and Inactive Mines <br />