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<br />DIVISION Of RECLAMATION, MINING <br />Department of ?Natural Resources <br />1313 Sherman St„ Room 213 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX; 83031 832-8106 <br />CHECK OINE: There is a File <br />Permit # tit <br />New Application <br />Conversion Appl <br />Permit # M - <br />The application for a Construction Materials <br />application form; (2) Exhibits A-J, Exhibit L, <br />by the Office, and outlined in.Rules 6.1, 6.2, ( <br />sure to include one (1) complete signed and n <br />of Exhibits A-J, Exhibit L•, Addendum 1, and <br />the application fee described under (4) below <br />1.1" or 8 1/2" X 14" size. To expedite proc ! <br />STATE OF COLORADO <br />CEIvED <br />JUN 2 6 2000 <br />Division Of Reclamatione <br />(Wining ty <br />CONSTRUCTION MATERIALS <br />COLORADO <br />r) I V 15 1 0 IN U F <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />41TED IMPACT (110) OPERATION Guvemor <br />Harri D. Sherman <br />IATION PERMIT APPLICATION FORM Executive Director <br />Ronald W. Cattanv <br />Division Director <br />umber Already Assigned to this Operation Natural Resource Trustee <br />(Please reference the file number currently assigned to this operation) <br />Ile 1.4.5) Amendment Application (Rule 1.1()) <br />Lion (Rule 1.11) <br />_7__ (provide for Amendments and Conversions of existing permits) <br />imited Impact (I 10) Operation Reclamation Permit contains three major parts: (1) the <br />addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required <br />1, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be <br />arized ORIGINAL and one (1) copy of the completed application form, two (2) copies <br />ppropriate sections of 6.5 (Gcotechnicai Stability Exhibit), as required, and a check for <br />Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8 1/2" X <br />ing, please provide the information in the format and order described in this form, <br />GENERAL OPERATION f NFORMATION <br />'T'ype or print clearly, in the space provided, ALL information described below. <br />L Aa alicant/o erator or company not <br />1.1 Type of organization (corporatie <br />2. Op eration name (pit, mine or site n <br />3. Permitted acreage (new or existinn_ <br />3.1 Change in acreage (+) <br />3.2 Total Acreage in Permit Area <br />4. : <br />4.1 New Applicat?vn: <br /> Aniena-MeInt I'c'e 1C'.R.S. 34-32": <br />4.2 Conversion. Fee (ffom 110d to 1 <br />5. Primary commoditie(s,) to be mined: <br />5.1 Incidental commoditie(s) to be n <br />5.2 Anticipated end use of pi-hrsary <br />Anticipated end use of incidental '-On <br />(name to be used on Permit): ??L>ti? t R t'r ? r, ?S?l?t>C?-7ati? <br />t <br />partnership, etc.): Z- LC p <br />1:4 k?r-S? ?Ji7B711/l S t 0 <br />? ?._..._ <br />permitted acres <br />acres <br />Lie f\ GV?/\?'h?? 4'. 2` acres <br />'1,258.00 application fee <br />i2501)): x.0 application tee <br />$1,258.00 conversion fee (Rule 1. 11.2(2)) <br />I . ? I ibs; I`ons/yr 2. _ / lbsrf onsiyr lbs;'":l'ons/vr <br />4. Ibs.+_Tons/}? 5. - 1 Ibsi oilsryr <br />46e(s) to be mined: <br />(s) to be mined: -??).i ?1 bYlra C <br />Office of .W..-?? Office of <br />Ntiineci Land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines