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ii iiiiiiiiiiiiiiii , • <br />STATE OF <br />COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources Received <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80207 <br />Phone: 1303) 866-3567 aR .1 ~ 1998 <br />FAX:1303)832-8106 <br />RECEIVED CONSTRIICTION MATERIALS •~~ O ~1af~ ~Ca~p yr, <br />MAR 16 LIMITED IMPACT (110 ) OPERATION _~r~ <br />1998 RECLAMATION PERMIT APPLICATION FOAM <br />~~ <br />~~~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />Governor <br />lames 5. Lochhead <br />Eaecutrve Director <br />Division o(Minerals 6 Geology ~ pG , <br />+ I o O'1 'L <br />f- Michael B. Long <br />Division Director <br /> <br />CHECK ONE: _~ New Application (Rule 1.4) Amendment Application (C.R.S. 34-32.5-110) <br />Conversion Application (Rule 1.11) <br />Permit # - -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit <br />contains three major parts: (1) the application form; (2) Exhibits A-J, Exhibit L, Addendum 1, <br />any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the Office, and <br />outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6 .2(1)(b); and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete"signed and notarized IVORY ORIGINAL <br />and one (1I copy of the completed Ivorv application form, two (2) copies of Exhibits A-J, <br />Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as <br />required, and a check for the application fee described under (4) below. Exhibits should NOT be <br />bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To <br />expedite processing, please provide the information in the format and order described in this <br />form. <br />---------------------------------------------------------------------------------------------- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />1. Applicant/operator or company name (name to be used on permit): <br />The Gallegos Corporatir3n <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax ID No. or Social Security Number: ~Q X079152 T. <br />2. Operation name (pit, mine or site name): Conger Harvesting Area <br />3. Permitted acreage (sew or exiatin4 site): 7. 56 permitted acres <br />3.1 Change in acreage (+ or -) acres <br />Total Acreage in Permit Area 7_SFi acres <br />4. Fens <br />4 .1 New Application 5875.00 application fee <br /> Amendment Fee (C.R.S. 34-32.5-125(II)) 5575.00 application fee <br />4 .2 Conversion Fee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(2)) <br />5. Primar y commoditie(s) to be mined: mnc~ rnnk <br />5 .1 Incidental commoditie(s) to be mined: 1. ~i/n - 1bs/Tons/yr <br /> 2. / lbs/Tons/yr 3. / lbs/Tons/yr <br /> 4. / lbs/Tons/vr 5. / lbs/Tons/yr <br />5. 2 Anticipated end use of primary commoditie(s) to be mined: AI'ChlteCt.Ura1 Stone <br />5. 3 Anticipated end use of incidental commoditie(s) to be mined: NSA <br />