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~-sl~sl STATE O~ COLORt-~DO <br />DIV1510N OF RECLAMATION, MINING AND SAFETY v _.,' _ _ <br />Department of Natural Resources ., ~ ~~ ~ ~ '~ <br />7313 Sfierman St, Roam 2i5 ~J ~,~ (y /~+ ~~,+.~j ~t~ ~`, t-i - ~ ~,~~ C O L O R A D O <br />Denver, COiOrddo 80203 W , V !1 (-! ~t- ' ' t i ~ 1 n 1 Y 1 5 1 O N O F <br />Phone (303) 8663567 CON5TRliC1'FON 6IA'1'FRIALS J r,. _. RECLAMATION <br />PAx: (3031 s3z-ato6 DI Isla ' 3n, MINING <br />REGt1LAR (11Z} OFERAI'[ON iv~in`, c;y ~ & _ <br />RF:CLAb7ATION PERMIT APPLICATION FORiLI SAFETY <br />a(11 nWPII$ <br />~iOVemOr <br />CHECK ONF: There is a File Number Already Assigned to this Operation Rosen c~,~Re <br />Permit p M -_ ` ~_ (Please reference the file number currently assigned to this operal7tSk)"°" o"e`i°` <br />Ronald W. Cattany <br />/ New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) p;vslon olre~ter <br />_ Conversion Application (Rule Ll l) Natural Re_aourmTr~stee <br />Permit # l~f - -_ {provide for Amendments and Conversions of existing permits) <br />77te application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendmn 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When yon <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL. and one (1) copy of the completed <br />application form, two (2) copies ofExhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, ands check for <br />the application fee described under Section (4) below. Exhibits should N01' be bound or in a 3-rive binder; maps should be folded to <br />8 I/2" X i l" or & 112" X 14"size. To expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERA'CION INFORMATION <br />Type or print clearly, in fhe space provided, AI,I, information requested below. <br />f2 ~ ~. <br />1. Auplicantlonerator or comaanv name (name to be used on permit): ACA.YeC_CIlllSItllCliolLC9IIluauy___-____.-_ <br />1.1 '[ape of organization (corporation, pannership, etc.): Cornoration <br />2. Operation name (aih mine or site name): Bollish Pit #2 ___ __-_______-_ _ ____ __ ___ <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (~+-) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4,1 NewApplioation <br />4.2 New Quarry Application <br />4,4 Amendm~nr Fee <br />4.,5 Conversion to 1 I2 operation (set by statute) <br />5. Frimarv commodities? to be mined: g~11d vraYBl_. hot~ayt_.___ <br />5.1 Incidental commodide(sj to be mined: 1.._,______,_LL,.-_____ Ib~~l^ons/vr <br />40.32 __ permitted acres <br />0.00 _ ^ acres <br />40.32 acres <br />_,2.344.00 application fee <br />_~pQb2tlt U quarry application <br />~{_~R7W amendment fee <br />__~Xl@ conversion fee <br /> <br />3. ,_ / tbs/'fons/vr 4_~~i Ibs/Tonslyr 5.` / lbslfons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ~a]~onct~);Lt711ll1aIPS1315~_12~Ckflll.Iri3IfI13)___~_._.__ <br />5.3 Anticipated end nse of incidental commoditie(s) nr be mined: <br />Office of <br />Mined Lund Reclamation <br />Office of <br />Active and Inactive Mines <br />