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STATE OF <br />~,~~%~~' <br />~~~Da <br />DIVISION Of RfC1AMAT10N, MINING AND SAFETY <br />Department of Natural Resources ~~Cj~~ V ~© <br />t 313 Sherman St., Room 215 <br />Denver, Colorado 80203 ~ <br />Phone: (303? 866-3567 APB 0 3 2008 <br />FAX: (303) 832-8106 CON5TRLtC'I'ION i41A'I'FRIAI;S <br />REEL L.AR (:! 12) OPERATION Divisi not Keclamati <br />Mi ing and Safer) <br />RECI.AivIAT:[ON PERe'~llT APPLICATION .FORivI ~ <br />COLORADO <br />DrvrsroN ar <br />R)rCLAMATI ON <br />~n, MINING <br />S.A FTY <br />Bifl Ritter, Jr. <br />Govemur <br />CHF,CK ONE: There is a File Number Already Assigned to this Operation Harris D. Sherman <br />~ Executive Director <br />.Permit # M - ~y-~- ~.~~ (Please reference the file number currently assignee) to this operati r . <br />~o~aid W. Cattany <br />New Application. (Ru]e 1.4.5) Amendment ApplicationRule I.10) Oiviion Director <br />Natural Resource 7rustec <br />Conversion Application (Rule 1.11) <br />Permit it ._ lit -_~~ -~~._.-_~.~~(provide for Amendments and Conversions of'exi~[ing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (l) the application <br />form; (2) 1sxll.ibits A-S, Addendum 1, any sections of Exhibit G.5 (Geotechnical Stability 13xhibit; a><td (3}the application fee. When you <br />submit your application, be sure to include one (I) complete signed and notarized URIGINALand one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of G.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should N0T be bound or in a 3-ring binder; maps should be folded to <br />8 112" X t 1" or 8 I!2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />Gl'NI?RA.I, OPERATION INFOR:MAT[ON ~ <br />Type or print clearly, in the space provided, A.LI, information requested below. <br />I . Applicant/operator or comnanv name (name to be used on permit): /J ~ C A ~ ~(~U n( YS~ <br />1.1 Type of organization (corporation, partnership, etc.): OI/~N ~ ~) T~} L _ ~N T I Tom/ _ <br />{~ __r __.___~ J <br />2. Operation name fait, mine or site name): G ~ OVL~ /'~ I ~T <br />3. Permitted acreaEe fnew or existine site): ~ permitted acres <br />3.1 Change in acreage (-t-) ~ c ~~, 3 acres <br />3.2 Total acreage i.n Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application. <br />4.4 Amendment lee <br />%t.5 C'onversion to 1 12 operation. (set by starttte} <br />-___._~f _i, ~ __ acres <br />i <br />I <br />i, 52,596.00 application tee <br />53,342.04 quarry application <br />52,229.00 arnenelmerrt fee; <br />)~, S2 696.0{t,,, cott•.-ersiean tee <br />5. Primary corrnnoditie(s) to be mined: .. ~~L ..._..-....._.___.---....__._ _..._..------....-____-- ~ -- _ . _. ___..---._...__-- <br />-- <br />5.1 Incidental camntoditie(s} to be mined: I. _-......----..___.-....--....._..__.__..__(bs/~rons-,~jrr 2..--~.--.......---- /----...------Ibs~:l'ans~r <br />3. -_-- ( lbs/1'ons~r 4..__....._.-.__L._ . ............lhs/7:ons?yr S. ~ (.._..._-•-•--._lbsil:om%yr <br />._ <br />5.2 Anticipated end use of primary commoditie(s) to be mined: __~NE71( _,,,,~l1ppL .f S.-__.,~7c~__-__._......_...___ <br />•-- • <br />5.:3 Anticipated end use of incidental. commoditie(s) to be mined: ..,,_il~~____ 1 _-__ ___-___._______.___ _.__ <br />C)fficc of i Orifice. of <br />Mined Land Reclamation Denver Grand Junction Durango ~ Aq:ive and Inactive Mine; <br />