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~'eip~ ~ 1 r! S 4.7,34 ~6 <br />STATE OF COLORADO I <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman SC, Room 215 RE~~~~/~p~ <br />Denver, Colorado 80203 D t v t 5 1 0 N o r <br />Phone: (303) 8663567 11'11 N): RA I. S <br />FA);: (303) 632-9106 & <br />~~~ ®p~ NOV Q 4 2Q02 c 1: o I o G Y <br />REC to MATION <br />MI NING•SA FE TY <br />®~~~~~ CONSTRUCTION iVIATER.It~j~ion of Minerals and Geology <br />~'° REGULAR (112) OPERATION <br />BIII Owens <br />RECLAMATIOi4 PERMIT APPLICATI01 FOR>tiI Governor <br />Greta E Watcher <br />[xecutive Director <br />C?aECK ONE: ; Eaere is a Fite i\umber ALreads Assisned 4o this Operation Ro^ald w. canany <br />?ermit # M -~-~-_ (?]ease reference the file number currently assigned to this operation) Ac°ng Ofvlsion oirecror <br />IVea~ Application (P.ule 1.4.5) _ Amendment Application (P.ule 1.10) <br />`Conversion Application (Rule 1.11) <br />Permit # M - -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regulm 112 Operation Reclamation Permit contains three major parts: (I}the application form; <br />(2) Exlu"biis A-S, Addendum 1, any sections of ExlubiT 6.5 (Geotechnical Stability Exhibit; and (3) Ste application fee. When you submit your <br />application, be sure to include one (1) complete limed and notarized IVORY ORIGINAL and one (i) copy of the completed Ivorv application <br />form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotecbnical Stability Exhibit, and a check for the application <br />fee descnbod under Section (4) below. Erthibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 112" X 11" or S 1/2" <br />X I4" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATON INFORMATION <br />Type or print clearly, in fbe space provided, AI,L information requested below. <br />I. AoulicanUonerator or comoanv name (name to be used on oermit): ©[bC,ASi€ ~iW ~t)P. ~NC: d~BA 111J ffE,,-,,1~~CCnn <br />1.1 Type of organization (corporation, partnership, etc.): ('DRpDRB~t't6xJ COM.NRNIES ©F'•~'°F <br />1.2 I.RS. Tax I.D. No. or Social Security Number: /~~~~' 04H g5,i(j e00~Pry <br />2. Ooeration name (nit. mine or site Hamel: IS ~~ Y L"~ <br />3. Permitted acreaee (new or eaistim¢ site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />~g~.5'-~ permitted acres <br />acres <br />~$g.Sy acres <br />4. Fees <br />4.2 New Application $2.344.00 application fee <br />4.2 New Quarry Application $2.906.00 quarry application <br />4.4 Amendment Fee $1,938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2,344.00 conversion fee <br />5. Primary eommoditie(sl to be mimed: $~1 !.) 8 ~ ~ RI1 V ~L. <br />5.1 Incidental commoditie(s) to be mined: 1. - Ibs/Tonslv r 2. / IbslTons/yr <br /> 3. { lbs/Tons/vr 4. 1 lbs/Tons/y bs/I'ons/vr <br />r 5. / i <br />5.2 Anticipated end use of primary commoditie(s) to be mined: RmA O t <br />BASE t C'.©-JC(.~'t•~T 3P1}RL~f <br />5.3 Anticipated end use of utcidental commoditie(s) to be mined: <br />