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~ III IIIIIIIIIIIII III <br />,~ ~fS~~~ <br />~f ~~8 <br />of coLor~Do <br />DIVISION OF MINERALS AND GEOLOGY <br />Orpanmem of N.vural Resources <br />1 } I f Sherman 51.. Room ? 15 <br />Denver, Colorado HU2U3 Is!\~ <br />Phone: 0031 UfiG-}567 <br />F` <br />FAX. f303) fl3?-H106 ~G <br />V ~,,.`~~e9~ <br />CONSTRUCTSON MATERIALS r aC1 ~ 7~"~,,~ <br />REGULAR (112) OPERATION „a•'~ <br />RECLAMATION PERMIT APPLICATION FORM~gvov <br />~~ <br />DIVISION O F I <br />MINERALSI <br />& I <br />GEOLOGI'~ <br />RECLAMATION <br />MINING•SAFETY <br />Bill Owens <br />Governor <br />Greg E Watcher <br />Executive Duecmr <br />CHECK ONE: X New A lica[ion Rule 14.5 Amendment A lication Rule 1.10(~s'chael a tong <br />PP ( ) PP ( bivis~on Dneclor <br />Conversion Application (Rule 1.11) <br />Permit H M ~-~~ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Mazerials Regular 112 Operation Reclamation Permit contains three major parts: (I) the application form; <br />(2) Exhibits A-S, Addendum 1, arty sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (I) complete signed and notarized IVORY ORIGINAL and four (4) copies of the completed No <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriaze sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL iuformstioo requested below. <br />I. AoolicanUooerotor or comoanv Dame (Dame to be used on oermitl: CAb1AS Colorado, Inc <br />1.1 Type oforganizarion (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax i.D. No. or Social Security Number: <br />2. Ooerotionname(nit-mine or sitenamel: Riverview Resource <br />3. Permitted acreaee (new or existine sitel: <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4? New Quarry Application <br />4.3 Milling Application (Non-DMO} <br />4.4 Amendment Fee <br />4.5 Conversion to 1 12 operation (set by statute) <br />5. Primary commoditie(sl to be mined: Sand ,Travel <br />5.1 Incidental commoditie(s) to be mined: I. n/a - Ibslfons/vr <br />3. / Ibs(fonslvr 4. ! IbsR onslvr <br />acres <br />acres <br />340 permitted acres <br /> application fee <br /> quarry application <br />$3.100.00 milling application <br />$1.550.00 amendment fee <br />$1.875.00 conversion fee <br />1 875.00 <br />a . s.oo <br />2. / Ibsrfons/vr <br />5. ! IbsR onslvr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: rnnctn Irti nn matar; a 1 c <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: n /a <br />