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/yl - ~oQ ~= ~/3 <br />DIVISION OF RECL.AAMTlON, MINING AND SAFETY <br />Depanntent of Natural Resources <br />t 313 Sherman St., Room 27 5 <br />Der-ver, Cobrado 84203 <br />Phone: {303) 866-3567 <br />FN{; {303) 832.8106 <br />STATE OF COLORADO <br />RHG@IVED <br />MAR 12 2008 <br /> <br />Dwiaion of Reclanlag C O 1.O R A` <br />D t Y 15 1 0 N O F <br />1~CLAMATION <br />on~ <br />AAh1~ig and Cam. <br />"~"~`7 M I i& N G <br />SAFETY <br />CONSTRUCTION M1fATERIALS <br />LIMTTED IMPACT (110) OPERATION <br />RECLAMATION PERMIT APPLICATION FORIVi <br />CHECK ONE: There is a File Number Already Assigned to this Operatfan <br />Bill Ritter, Jr. <br />Governor <br />Harris D. Sherman <br />Executive Director <br />Ronald W. Cattany <br />Division Directar <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 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parrs: (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 OfFtee, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(lxb); and (3) the application fee. Whetr you submit your application, be <br />sure to include one (1) complete sierred and notarized ORIGINAL and one (1) copy of the completed application form, twa (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />the application fee described under (4}below. Exhibits should NOS be bound or in a 3-ring binder; maps should be folded to 8 1!2" X <br />1 l" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION NFORMATION <br />Type or print clearly, in the space provided, ALL infDDormation described below. <br />t . Applieant/operator or comopnv name (name to be used on permits: _t~V ~5 ~ ~ ~qf'~ f + j, ~ (, <br />1.1 Type of organization (corporation, partnership, etc.): ~i (Y~t~ /.t.~ i -'~-y_ CO,M,~,t (1~„t <br />2. Operation naitte toil. mine or site nab: ~iJ 2TS 1 C~Q. ---.o q f'egr,, <br />3. Permittard acreage (new or existing site}: <br />3.1 Change in acreage (+) , .: <br />`~ ,~ <br />3.2 Total Acreage in Permit Area ~ <br />C <br />~:° ~ ~ ~ _, <br />4. Fees: ~,;,,, <br />4.1 New Application: <br />Arra?ndmerrt Fee (C.R.5.3-0~-32.5-125(11}): <br />4.2 Conversion Eee (from 11 Od to 110 2S .25$.00 conversion fee (Rule I. I I.2(2)} <br />t-- aG <br />- I.9 permitte acres <br />p~q' acres <br />1 • 1 acres <br />1 258. application fee <br />Z7.OA application fee <br />5. Primar~comrtroditie(s1 to be mined: ~~ ~~Yt? ~ _ <br />5.1 incidental comrrroditie(s) to be mined: 1. /1 ~~ IbslTons/vr 2. / [bs/'I'ons/vr 3. ! lbs/Tons/vr <br />4. I lbslTons/~r 5. / ~bs/Tottslvr <br />5.2 Anticipated end use of primary conrnroditie(s} to be mined: ~ 115-t-f t~~~ 0 (~ <br />Anticipated end use of incidental commoditie(s) to be mined: __ r1~~ <br />Ctffice of <br />Mined Land Reclamation Office of <br />Denver • Grand function Durango Active and Inactive Mines <br />