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STATE OF COLORADO <br />DNISION OF RECLAMATION, MIMNG AND SAFE(Y <br />Department of 7Vatnral Resowoer <br />1313 Sherman $L, Rmn 215 <br />Delver. CWOradD 80203 <br />Phone: (303) 86fr3567 <br />FAX (303)832$106 <br />RECEIVED <br />NOV ~ ~ ~OQ6 <br />Division of Reclamation, <br />Mining and Safety <br />CONSTRUCTION MATERIALS <br />SPECIAL. (111) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />COLORADO <br />DtVIS10N Or <br />RECLAMATION <br />MINING <br />SAFETY <br />au o~m <br />(.v>vnor <br />wmd)Geolge <br />Ezx>nire DireOnr <br />aflwa w. caWnr <br />oiNSian t>~ <br />NaNrd Rearutt TnWee <br />The ttppliation for a Cow Magrials Special 1 I 1 Operation Recbltmtion Penoit feu tttajor pals: Q) the application forut; <br />(2) Exhibits A-L, Addendum 1, and nay sectioasofExhtbit 6.5 (Crrnare~ical Smblity Exhtbnk as required by the Office, a~ outlitredm <br />Rnlea 6.1, 6.2, 63, 6S, and 1.6.2(Ixbk (3) the application fee; (4) the Perfomnae Wttrtatriyaad ifrequ¢cd a Fiuaocial Warrmty. When <br />you subvtit yaa applicatmo, be slat to ittclode aoe(1)etwadtXed.tilr3aed aad ea[ariaaOR[GINAL sad one (1) txlpyofdte <br />application form, two (2) ot~es of EzhSbus A-L, Adde~um I, appropaieac u~ of E~u'bit 6S (Geotahmca' 1 StabiFhy EahEbi[}, as <br />required, aeheck for the applsation fee descnbedander (d)below, a~ d[e G111yexeamedPafovltantx Wat3amyataiFitmocial Watmmy, if <br />tegttaed. Elthibits shauM NOT be btamd or in 3-rmg biDdera; maps shontd he £ohkd to 8 2° X 11" or 8 2' X 14" srce. To expedite <br />plneevitGg, please provide the adotmatioa is the format and ort~ descnbed in this form. <br />GENERAL OPERATION 1[NFORMATION <br />TYpe ~ P^~ ~~y+ ~ the apxe ptnvided, all hdotatatiou dlxm'bed 61dow <br />1. AonlinnUlmen~r gr comoanv same fantme to he aced 1m flte nertdtk <br />Flatiron Constructorsr Inc. <br />I.1 Type ofOrganizetion(corpomtion,parmership,ere.}: Corporation <br />2 Ottentfant(ame(nitm(neerttiteoame-: Camenish Borrow <br />3. PermiNed atreftte• 3 0 Permitted Acres <br />4. New Aoolintioa: 78 L00 Application Fee <br />5. Pri~rvoomesoditielsltobemined: Sand and Gravel <br />6. Name of owner to the wrfaee of attee6ed later: Phi 1 Camenish <br />7. Name of owner to ~ tttdtaarfam tiehts o[ aH~ land: Phi 1 Camenish <br />8. Tvce of tninioe otrvafien- X Surface _ Ut>daground _ io-sim <br />9. Location in[ormatbo: The meter of the area where tiro majority of mioiog will otxw; <br />1±0(]N7'Y: Weld <br />PRINCIPAL MERIDIAN (check ones X 6th (Colorado) 11Mh (New Mexico) Ure <br />SECTION (write ralttdler): S 1 5 <br />TOWNSHIP (write ntmlba ate checl: drtection): T 2 X North South <br />RANGE(wrifemto>berardchxkdirectim): R 68 Fes[ X West <br />QUARTER SECTION (cherJ: o>x): NE X NW SE SW <br />QUARTERlQUARTER SECTION (check o»e): X NE NW SE SW <br />GENERAL DESCRIPTION: (the tum~er of miles and direction from the trearea town atd the appm:mnate elevation): <br />-Located a mile north of Frederick Colorado at elevation 4870 feet. <br />~fOe ~ o8'we of <br />Mined lald Reciallfation _ _ Active a1v1 Inactive Mines <br />