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<br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmenl of Natural Resources <br />1313 Sherman $(., Room 215 <br />Denver, Colorado 80103 <br />Phone: (3031 866-3567 <br />FA%:(3031832-8106 <br /> <br />~T°T~_ OF COLORADO <br />III IIIIIIIIIIIIIIII ~ ~~ 6~ <br />gcCEtVE~ C-k.~k~l~z- <br />.,u~ ~`~ ~sy~ <br />~~rals;or a tY~lnela~s & Geology <br />COMSTRIICTIOM a~smvvr>•T.g <br />SPSCIAL 111 OPERATION <br />RB~~s~'r'IOM PERMT APPLICATIOR FORM <br />~~ <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Roy Romer <br />GCMrgr <br />lames S. Lochhead <br />Esecutive DirMd <br />htichaN B. Lmg <br />Division Director <br />The application for a Special 111 Operation Reclamation Permit contains four major parts: (1) <br />the application form; (2) Exhibits A-L, Addendum 1, and any sections of Exhibit 6.5 <br />(Geotechnical Stability Exhibit), ae required by the Office, and outlined in Rules 6.1, 6.2, 6.3, <br />and 6.5, (3) the application fee, and (4) the Performance Warranty and if required a Fiaancial <br />Warranty. When you submit your application, be sure to include pne (1) complete sicned and <br />notarized IVORY ORIGIRAI. and one (1) copy of the completed ivo application form, two (2) copies <br />of Exhibits A-L, appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as <br />required, a check for the application fee described under (4) below, and the fully executed <br />Performance Warranty and Financial Wazranty, if required. Exhibits should not be bound or in a <br />3-ring binder; maps should be folded to 8 1/2" % 11" or 8 1/2" % 14' size. To expedite <br />processing, please provide the information in the format and order described in this form. <br />~'~'"~ C 3iC <br />GENERAL OPERATION INFORMATION m . -1G - O I <br />Type or print clearly in the apace provided the information requested below. <br />1. Applicant/operator or company name (name to be used on permit): <br />ELAM CONSTRUCTION, INC. <br />1.1 Type of organization (corporation, partnership, etc.): COLORADO CORP. <br />1.2 I.R.S. Tax ID No. or Social Security Number: 84-0484380 <br />2. Operation name (pit, mine or site name) : HIGHWAY 50 BORROW AREA NO.2 <br />3. Permitted acreage: ''-193 permitted acres <br />d. New Application 5625.00 application fee <br />5. Primary commoditie(s) to be mined: SOIL <br />6. Name of owner to the subsurface rights of affected land: Rodney Whiting <br />7. Name of owner to the surface of affected land: ABOVE <br />8. Type of mining operation: ~ Surface Underground In-situ <br />9. Location information- The center of the area where the majority of mining will occur: <br />COU~y; MESA <br />PRINCIPAL tiERIDIAN (check one): _ 6th (Colorado) _ 10th (New Mexico) X Ute <br />SECTION (write number): S 32 <br />TOWNSHIP (write number and check direction): T ? North X South <br />RANGE (write number and check direction): R ~ X East _ West <br />QUARTER SECTION (check one): _ NE _ NW _ SE X SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW _ SE X SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the neazest town and the <br />approximate elevation) : 4 MILES SE GRAND JUNCTION ELEV. 4820 <br />