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STATE OF COLO[ZADO <br />DIVISWN OF RKIAMAT}UN, MINING AND SAFETY /~ <br />DrrlptnnfrPl ~~/ ~wal R.xw,n r. /~, r/1 <br />I f l t Stwym."'. SL Room :15 •\ f~ I r I r,..~ <br />blavac (ol•v,wL~ MliOf (~ U ! 11 H ~ tl ll <br />1*ane ~wf~M><.rf,~ (Y)NtifR1Y~Tll)\ 1fA('):RI:\Lti ! ~ R ~ - ) 0.ECL.~MATION <br />U%,Iq)~Pf?1t~Oh p~,, '`r?/ MINING <br />RF.GI'LAR 1112) OYF:RA I10~ _ _ <br />SCANNE~AMATiOYYER.N11'AYPLICATfO~~FDR!N. ~n yA ET1' <br />...~ .. <br />(11L('K OV ti _ _ _ . 'Fbere h a F11e Nunfber .Uready AsslRncd to (his Operalbn ~ey~~J lc.r~~ <br />I'enrut n }1 _ _ ___ __ II'Ifsasc tclrretfce tlr lik number afrrcnlly rtss,grcd (O Ihlx IlpCnlMSt1'~N n.T',rM <br />New -\ licatiorr Ruk 1.4.5) Artsrndfocst A IicalioelRule 1.10) e,.w1 W ~.vI <br />_ _ _ ('omcrsba Appliation IRuk 1.1 I) wnwr+er.wwe rn.+r' <br />i'rmut n N - _ _ _ - _ _ _ !Provide for Atnendmeab and ('onvenfons of existing permits) <br />17fe apphcmero Ibr a ('Douro uon \(utettaly Re};ular 112 Operuuon Rccbtnaticm Pemril runtams three tmj<x parb 111 the apphcahun <br />form; (11 Fzhthm ,\-ti, Alk1.-rvblm I, any sechnns of FshlMt 6.+ I(irnrechnkal tiuhitity 1•.hlhn: ant l?I the application fee. t4'hen yrw <br />wlmvt yrafr applkatian, be wre w ittlufle uae 111 cu~ic~E uBncd atxJ na7tarfzczl l)iSlCajfWAL and orc I I I urpy of the compkted <br />spplfcanon lixm, two 12) nfpies of L•xhlbiu A-ti, Ad(1enlurn 1, appropriate srlt,ama of 6.s l(,rotecblucal Stability [~Jtibit- and a check fur <br />the applicanam fee desenbrd utfder tiectxm (41 bckw+. Exhibits ~dwwW \~~1' he bound a in a 3-nog border, nmps slxwW be folhd to <br />b 1, 2" X 1 1"orb I Q" X 14" size Fo expalite prrxcssing, pleasr providr t)IC mhurnmon m the lonnet and onto IkuTtTnt m thn form <br />(}tiAt RAI. UPI:1tA 1 IU.~ 1.~} uftMAT IUN <br />"['ype or print ekarly, i~ IAc space provided. AI.1, informatlon regne+ted/below. <br />I- •\fwikaoVopenter or cotnffaov parer !name tube used on xrnfit): _ L-ptr~R~ ~.os-arT ftbi. l1{L_ - _ <br />I.I type of orgam~abon (carporabnn, pannrrshrp, etc.!' _ - L-e^^'3'c ~~-'A74aui`L_ -~+~o~F`?y~ <br />2. cltxntbn name lult_ mix or site name): _ ~Y$p~T_vE ~J_~'c4; _-- _ -- <br />3. Perrdnrd acreat(e freers or esbNtee+ite} _ _ _ O pemuttal acres <br />i.l ('hange m acrcagr (' I Q acres <br />?.2 1'nul acreatiro in Permit orc^ X75 31 acres <br />1. F,cea. <br />4,1 \ew Applrcatinn j1„JJ (q applecatnm lee <br />4.2 New (lulvrv ;\ppli: anon ~IOh INI aµum spplieatirm <br />JA Arfrednrnt Fee ~I ~)x tq anxrahn7a tee <br />LS l'nlRerxion to 111 uprnuon Lc( hr .tawtct S_', }•tJ W ruavrrximt ire <br />1 Pr}rrurv eonmrrfdilkYsl to he urrfed. Lust57mr1):_ t!j/tpNrrt _ Sn~+DJrp\,)E., 17Lmv07ni`_ peeC <br />S.l Irecdental conrraxliuelsl to be mirraL 1. Q _- Ibn lanyr 2. Q P+v.7lmsyr <br />? O IbsTwfs yr J Q_- Ihs'I'u((i~iT s U Il+n~")offs yr <br />5.1 Anncgratnl rral usr of prmmry aonlnxxhndvl to he mined: . _C~~S•±~Cf?^~ Y t.~M+o)c n0. a(a Mw1~grM3 <br />5.? Antecfpated enrl use n(fncaknul cormra>,hurl a) fo he morn!'. _ tiJ A ~- <br />(Miry III (kfKr rA <br />Mn,rtl tJrzt fen lam:ra,n Mlrrr rr1 InwtiK Wrw <br />