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~ III IIIIIIillllll III <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />RECEIVED <br />1313 Sherman SI., Room 21 i <br />Denver, Colorado 80203 <br />Phone: 1303) 866-3567 <br />FAX: (303) 83?-8106 <br />~ 2 41997 <br />CONSTRIICTION MATHRI~If~lOfl 0} M1118fdIS tk GBOIOQy <br />RBGIIr.nn OPERATION (112) <br />RECLAMATION PBRMIT APPLICATION FORM <br />36.7 permitted acres <br />CHECK ONE: x New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # _- - -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical <br />Stability Exhibit; and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete sinned and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivy application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 <br />(Geotechnical Stability Exhibit, and a check for the application fee described under Section (4) <br />below. Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" <br />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and <br />order described in this form. <br />_____________________________________________________________________________------ -________ <br />GENERAL OPERATION INFORMATION '~1~- ~ ~ ~' `~ <br />Type or print clearly in the space provided the information requested below. <br />------------------------------------------------------------------------- <br />1. Applicant/operator or company name (name to be used on permit) <br />ai;rOn Ready "4ix <br />1.1 Type of organization (corporation, partnership, etc.): corporation <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: 8~1-~t7gp4(195 <br />2. Operation name (pit, mine or site name): Elric <br />3. Permitted acreage (new or existing site) <br />3.1 Change in acreage (+ or -) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5 <br />I~~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />Governor <br />James 5. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Director <br />acres <br />'6.7 acres <br />51,875.00 application fee <br />$2,325.00 quarry application <br />53,100.00 milling application <br />51.550.00 amendment fee <br />51,875.00 conversion fee <br />Primary commoditie( s) to be mined: Sane' and Gravel _ <br />5.1 incidental commoditie(s) to be mined: 1. lbs/Tons/vr <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/yr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: consF, nlction <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />