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Y1~- ~.op~- X03 <br />STATE C)F COLOR/ADO <br />DIVISION OF MINERALS AND GEOLOGY / „ ^ ~~~7 ~/ <br />Department o(Natural Resources y~4~ <br />t3t3 Shemun Sl., Room 2t5 ~ COLORADO <br />Denver, Colorado 80203 D I V I a l O N O F <br />Phone. (31131866.3567 CONSTRUCTION MATERIALS MINERAL S <br />FAX: (303) 832.8106 REGULAR (112) oPERATION IY/ G E O L O G Y <br />RECLAMATION PERMIT APPLICATIONFORI1l aEM/ETY•ICIENrCENG <br />BIII Owens <br />Governor <br />C]-TECK ONF.: There L~ a File Number Already Auigped to this Operatiop Ruueii eeorae <br />Permit H M -_-_ _ (Please reference the file numbs currently assigned to this operation) raeative Direcr« <br />New A hcation Rule 1.4.5 Amendmept A IicaNion ule 1.10 Ronald w. Gthny <br />.~ PP ~ ( ) PP ~ ) Division DlrtWr <br />Convenkn Application (Rule 1.1 I) Nrtural Resounx rrvstee <br />Permit q M -_ _ (provide for Amendmepta rnd Conveniona ofexisting permits) <br />The application for a Constnlction Mnterials Regulnr 112 Operation Reclamation Permit contains t}uce major parts: (I) the application form; <br />(2) Exhibits A-S, Addendum 1, arty sections of Exhibit 6.5 (Geotcehnicel Stability Exhibit; and (3) the applicators [ce. When you submityollr <br />application, be sure to include one (1) complete simled and notarized ORIGINAL and one (1) copy of the completed applicationform, two (2) <br />copies ofExhibiis A-S, Addendum 1, appropriate sections of6.i (Geotechniral Stability Exhibit, and a check for the application fee described <br />touter Section (4) below. Exhibits should noT be bound or in a 3-ring binder, maps should be folded to 8 1 /2" X 1 I"or 8 12" X 14" sine. To <br />expsxfite processing, please provide the information in the format and order described N this form. <br />GENERAL OPERATION INFORMATION <br />Type or print ckady, ip the apace provided, ALL information rcgnaated beltm. <br />1. A licaptlo rotor or rn an ame name to be used on it : 0.~ I "'TRW i N l~t~Y ~ 0 f6t~ip h-j <br />1. t Type of organization (corporation, panners)tip, fe~tcJ: ~F~ Qa'~+~ ~pp~ <br />2. Oneratbn pame(pit. mine or site name): ~Q rlCe1C-~t2S~RY/I F-CSOVRC~ <br />3. Permitted acrcaae feerv or eaiatine she): permitted acres <br /> ED <br />3.1 Change in aaeage (+) RECE~~ acres <br />3.2 1'utal acreage k Permit area ~ acres <br /> ~t c <br />JAS Q ~ LOOo <br />4. eea: <br />4.I New Application GealogV <br />nd $2.344.00 application fee <br />4.2 New Quarry Application pivision of Minerals a S2 906 00 quarry application <br />4.4 Amendment Fee $1.938.00 amendment fee <br />4.5 Conversion to 1 12 operation (set by statute) $2344.0(1 ccmversion fee <br />5. Primary rnmmodhieta) to be mined: ~__ i'Q4P~I <br />5. I Incidental cemmtoditie(s) to he mined: I. Ibs/I'altshrr 2. _ / Ibs/l'ons/vr <br /> 3. / Ibsffonslvr 4. f ibs(fons(v <br />r <br />5. f Ibslfo s t <br />5.2 1 <br />l <br />Anticipated end use of primary commoditie(s) to be mined: ~t'iS'I ~r~CTiO rJ /~1Ct t°Li a~$ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of Colorado <br />Mined land Reclamation Active and Inactive Mines Geological Survey <br />