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<br />DtVtSiOtV OF RECL4MAT10N, MINING AND SAFETY <br />Department of Natural Resources <br />i 313 Sherman St., Room 2i 5 <br />Denver, Colorado 80203 <br />Phone: {303} 866-3567 <br />fAX; {303} 832-8106 <br />STATE OF COLORADO <br />REG~IVED <br />MAR 1 ~ 200 COLOR A <br /> <br />Division of Recl DIVISION U F <br />RECI,AMATtoN <br />amation. <br />Minklg and Safety MINING <br />-- &--- <br /> SAFETY <br />CONSTRUCTION MATERIALS <br />LIMTTED IMPACT (116) OPERATION <br />RECLAMATION PERIVIIT APPLICATION FOR1~I <br />CHECK ONE: "there is a File Number Already Assigned to this Operation <br />Bill Ritter, Jr. <br />Governor <br />Harris D. Sherman <br />Executive Director <br />Ronald W. Cattanv <br />Divisiors Director <br />Natural Resource Trustee <br />Permit # M - - -~ (Please reference the file number currently assigned to this operation) <br />X New Application (.Rule 1.4.5) Amendment Application (Rule 1. t0) <br />Conversion Application{Rule 1.11) <br />Permit # M - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required <br />by the Office, and outlined in Rates 6.1, 6.2, 6.3, 6.5, and 1.6.2(1}{b); and (3}the application fee. Wi1en you submit your application, be <br />sure to include one (I) complete signed and notarized ORIGINAL and one (i} copy of the completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of ti.5 (Geotecfmical Stability Exhibit), as required, and a check for <br />the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to $ 1 /2" Y <br />1 t" or 8 i/2" X l4" size. To expedite processing, please provide the information in the format and order described in this folm <br />_ _ -- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />i. Alsplicant/operator or company name (name to be used on permit): C~ve~s~~ ~ fqf 2g0."f'-e~' ~ ~-~-C <br />1.1 Type of organization (corporation, partnership, etc.): + M-~ ~-I,v~` I ~ -'~-tt C~.M, f~".t ~1y <br />2. Operation name fpit, mine or site aame): (2t~02TS I cA.Q ~q~-~-eS r ,L 4-- G <br />3. Permitted acreaEe (new or exisiine site): ~.9 permitted acres <br />3.1 Change in acreage (+) -~ <br />- acres <br />3.2 '.l'otai Acreage in Permit Area c <br />~ • 1 _ _ acres <br />4. Fees: <br />4,1 New Application: 1 23$.tl0 application fee <br />Attiendmarnt Fc~ (C_R.S. 34-32.S-12a{Ii)): 27.Otf application fee <br />4,2 Conversion Eee (from I i0d to 110 1~ •25~ <br />canversian fee (Kale i.l 1.2(2)) <br />p <br />5. Primary comnroditie(s1 to be mined:.~,I~CJI <br />~(?7~~(~~ <br />_ <br />_ _„ <br />~_ <br />n <br />5.I [ncidental commodities} to be alined: i. ~ /~ Ibs/Tons/vr 2. ; IbsPTonsl __~_ <br />vr 3. % <br />lbs{7~on~ <br />4. t IbstTons/vr ~. IbsrTons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ~~ S-i-~~-`~ O ~ <br />Anticipated end use of incidental cntnmoditie(s} to be mined: _~ ~~~1-_ ~ ___.___. _._._.._._.._.._... __-.~... <br />Office of Office of <br />Mined Land Reclamation Denver • Grand iundion Durango Active and Inactive Mines <br />