PERMFILE135344

• Permit No: M1998104
• IBM Index Class Name: Permit File
• Doc Date: 12/16/1998
• Doc Name: 112 Application
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
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Deparlmem of Natu ral Resources =
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131 3 Sherman SL, Room 71 S
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Division of Minerals 6 Geology
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112
OPERATION
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RECLAMATION PERMIT APPLICATION FORM Gnvemor
Iama 5 Lomhead
Etecwne G:recor
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~`~ ntichael B Long
- Ors ision Direaur
CHECK ONE: ~ New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Coaversio Applies tion (Rule 1.11)

Permit # ~~ r
~-_~~ (provide for Amendmepts and Conversions of existing
permits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains
three major parts: (1) the application form; 12) Exhibits A-S, Addendum 1, any sections of
Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your
application, be sure to include one (1) complete signed and notarized IVORY ORIGINAI. and four (4)
copies of the completed Ivory application form, five (5) copies of Exhibits A-S, Addendum 1,
appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee
d cribed under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps
~1d be folded to 6 1/2" X 11" or 8 1!2" X 14" size. To expedite processnin/g~, please provide
t _ information in the format and order described in this form. ~'I~-`~, -l~
__-°°____°____'____~____~____~____~____~____~____~____~------___~___- J ~______
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information requested below.
1
1.1 Type of organization (corporation, partnership, etc.):
1.2 I.R.S. Tax I.D. No. or Social Security Numberr:
2. Operation name <vit, mine or site name) : PIMP. R~da2 ~'~
3. Permitted acreace fnew or existing site): ~.9 permitted acres
3.1 Change in acreage (+) -(- 92.5 acres
3.2 Total acreage in Permit area 102.4 acres
4. Fees:
9.1 New Application 51,875.OD application fee
4.2 New Quarry Application 52.325.00 quarry application
9.3 Milling Application (Non-DMO) $3,100.00 milling application
4.4 Amendment Fee S1, 550.00 amendment fee
9.5 Conversion to 112 operation (set by statute) 51.875.00 conversion fee
5. Prima ry commoditie( s) to be mined:
5.1 Incidental commoditie(s) to be mined: 1. -IK T(1n ~TOnS/vr
2. / lbs/Tons/vr 3. _ / lbs/Tons/vr
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9. / lbs/Tons/vr 5. / lbs/Tons/vr

5.2 Anticipated end use of primary commoditie(s) to be mined: ~Vlt~rl.r~rrn~ I"«.l'i.
5.3 Anticipated end use of incidental commoditie(s) to be mined: ~nrY ~v ~+I+" H'. C03~