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<br />DIVISION Of MINERALS AND GEOLOGY <br />Depanment of Natural Resources <br />7313 Sherman St., Room 275 <br />Denver, Colorado 80203 <br />Phone:(303)866-3567 <br />FAX: (303) 832-8106 <br /> <br />III IIIIIIIIIIIIIIII?F <br />999 <br />COLORADO <br />RGCEIVED <br />CONSTRQCTION )WTERLALS <br />LII(ITED I!lIPACT OPERATIOx ct~fi6) 0 9 1996 <br />RED=~-a~'r'ION PERIfIT APPLICATION PORM <br />v~IViiiJ~ ~~ rr ^~rCI dIJ b U00109y <br />~'`~_ <br />DEPARTMENT' OF <br />NATURAI. <br />RESOURCES <br />Roy Romer <br />Goverrar <br />lames S. Lochhead <br />Executive Director <br />Michael 8. Long <br />Division Director <br />C1~CR ONE: _~ New Application (Rule 1.4) Amendment Application (C.R.S. 34-32.5-110) <br />Coaversioa Application (Rule 1.11) <br />Permit #.~~-~~-~-_ (provide for Ataeadoents and Conversions of <br />existing permits) <br />The application for a Construction Materials Limited impact dining (110) Operation Reclamation <br />Permit contains three major parts: (1) the application form; (2) Exhibits A-J and Exhibit L, <br />Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Hxhibit, as required by the <br />Office, and outlined in Rules 6.1, 6.2, 6.3, and 6.5; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete sipped and notarized IVORY ORIGINAL <br />and one (1) copy of the completed ivory application form, two (2) copies of Exhibits A-J and <br />Exhibit L, appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check <br />for the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring <br />binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14• size. To expedite processing, <br />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 information described below. <br />-F <br />1. Applicant/~erator.or company name (name to be used on hermit): <br />1.1 Type of organization (corporation, partnership, etc.): .So ~e 7L>P~/efar <br />1.2 Z.R.S. Tax ID No. or Social Security Number: i ~3-~~0 -:/i-`~~ 57 ~~ <br />2. Operation name (pit, mine or site name): ,~BS7CY/1 ~/O~C~ /'(~.SFDIIG~ C)C(Q17~/IYUr 2 <br />3. Permitted acreaoe (new or existing site): 9~ SS permitted acres <br />3.1 Change in acreage (+ or -) $' acres <br />Total Acreage in Permit Area 9. SS acres <br />4. Fees- <br />4.1 New Application 5875.00 application fee <br /> Amendment Pee (C.R.S. 34-32.5-125(II)) 5575.00 ~ application fee <br />4.2 110 875.00 conversion fee (Rule <br />Conversion Fee (from 110d to 1.11.2(2)) <br />5. Primary n <br />commoditie(s) to be mined: ~{TT /G <br /> <br />5.1 / <br />InCldeIItal Commoditle(B) t0 be mined: L ~/7(VL~/ <br />- ], SLYJ r~ <br />Ylbs/Tons/vr <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/vr <br /> 4. / lbs/Tons/vr 5. / lbs Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Erv tien CO~IfI~O/~ ~~.~~" <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: iPv~ed b4IG <br />