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~~- Zoa7-r>67 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />7313 Sfiennan St., Room 275 <br />Denveq Colorado 80203 <br />Phone: (303) 866.3561 <br />FAX: 1303) 832106 <br />RECE,VED <br />SEP 1.8 2001 <br />ppNtalon of Re~~dSSaaamation, <br />CONSTR~,i((dVfHY1R'MA~ ALS <br />COLORADO <br />D ItlISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />LIMTPEll IMPACT (110) OPERATION sill Ovens <br />Governor <br />RECLAbIAT10N PERrIiT APPLICATION FOR11'I Russell Gmrge <br />EttsuTVe DirP.CtOr <br />Ronald w. CaiWny <br />G71ECK ON F: ')'here is a File Number Already Assigned to this Operation Division Dtrecmr <br />Natural Resource iruF(ee <br />Permit # M -_ _-_ (Please reference the file number currently assigned to this operation) <br />New Application (Rota 1.4.5) Amendment Application (]tole 1. ] 0) <br />Conversion Application {Rule 1.11) <br />Permit # M -~ ,__; ~ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Ylaterials Limited Itnpaci (110) Operation Keclamation Permit contains three mayor parts: (I) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit G_5 and Geotechnical 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 to include one (l) cortrolete siened and notarized ORIGINAL and one (1) capyofthe completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of6.5 (Geo[echnical3tability Exhibit), as required, and a check for <br />the applicatinn fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8 I/2" X <br />11" or 8 1!2" X 14" size. To expedite processing, please provide the information in the format and onier described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />1. Aonlicant/onerator or compaev name (name to be used on oermitl: M af4.'f'(ta'f ~ .I Co M an <br />1.1 Type of organization (corporation, partnership, etd.): Co~/~1t d_a,-~/',~p-n _ <br />2. Operation Warne (nit, mine or site name): LIB f A"rt1 B ~ Igo LlG QIn.Ivf (' <br />3. Permitted acreage (new or ezistin2 sitel: ~~_ permitted acres <br />3. I Change in acreage (+) ~ acres <br />3.2 Total Acreage in Permit Area ~ Q acres <br />4. Fees : <br />4.1 New Application: $] 094.00 application fee <br /> Amendment Fee (C.R.S. 34-32.5-125([1)): _ $719.00 application fee <br />4.2 Conversion Fee (from I1 Od to 110 $Si5~00 convtrsion fee (Rule 1.1 1.2('2)) <br />5. Primary commodi6e(sl to be mined: Ct fgJC <br />5.1 Incidental commodiGe{s) to be mined: I. / Ibs/Tousrkr 2.. / Ibs(fonsPor 3. ___ ! Ibs~Cons/vr <br /> 4. __~ ( _lbs/I'ons~+r 5. / ibsPfonsh'r <br />5.2 Anticipated end use of primary cornmodilic(s) to be mined: Roaol Con C~'fwC~~ ti~1. _ <br />Anticipated end use of utcidental commoditie(s) to be mined: <br />Office of ONice of <br />Mined Land Reclamation Act(ve and Inac]ive Mines <br />