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STATE OF COLO[L°,DO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />gepartment at t~iatural Resources ;~ <br />1313 Sherman St., Room~~ ~~~~ <br />Denver, Co{orado 80203 <br />Phone: (303? 866-3~6? t ~ ~~~+,~1~ <br />CONS'I''Rt.?C'I'ION IVIA'1'E~RIALS <br />q~p,. r-+.4n Atf~ <br /> <br />FAX: f,303; 832-8106 ~~'~ ~ ` +,. ~af10C~, Af n ~. ~`1 1 t `t <br />~ ~IVision o, ~ . . <br />istot~ °~ `~~"a ~`& REGi,~L.AR (112) OPERATION ,._•s: <br />p'\~+~~d~~tECLA1•IAT[ON PIa:Rl~[IT APPLICATION FOR1'T ~flining ant! ~~+ <br />COLORADO <br />DIVISION O F <br />RECLAMATION <br />MINING <br />a„ SAFETY <br />Bil! Ritter, Ir. <br />GUVenr.~r <br />CHECK ONE: ~ '['here is a File lumber Already Assigned to this Operation Harris O. Sherman <br />-- -- Execu!ive Director <br />Permit # lv1 -~-~- 4 t (,Please reference thc° flje'number currently assigned to this oporati~~~~d w. Cartanti• <br />New Application (Rule 1.4.5) ,r/ Amendment Application (Rule 1.10) oivii~n oir~:~tor <br />Natural Resourr:e Tnistee. <br />~,__ Conversion Application (Rule 1.11) <br />''~13 <br />Permit # ._ M -~ ~_ -~~- __-__ (provide for Amendments and Conversions of.' existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />.form; (2} Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability I:sxhibit; and (3}the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1} copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical. Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NO 1' be bound or in a 3-ring binder; maps should be folded to <br />8 I2" X t 1" or 8 U2" X 14"size. To expedite processing, please: provide the information. in the format alad order described in this form. <br />- _.. GTiNIRAI., OPERA'T'ION INI~OR:~TA1'[ON <br />'T'ype or print clearly, in the space provided, ALT, information requested below. <br />Applicantloperator or companv name (name to be aced on permit): ~ ~ N~ ~~ `~-~ r`5' <br />1.1 Type of organization (corporation, partnership, etc.}: ~oy~~,~(M~!V'~ _____.___~._.__._~.._..__ <br />2. Operation name (pit, mine or site name): 1 E (Z,H~F~F F P:~"T' -mod ~" <br />Permitted acreage (new or existing site): <br />3.1 Change in acreage (•+•) <br />3.2 Total acreage in Perntit area <br />r~ fa ~ rf $ permitted acres <br />acres • <br />9~' g-r'---------- acres <br />4. .Fees: <br />4.1 <br />Nety Application <br />X2,696.00 <br />application tee <br />4.2 Ne~v Quarry Application X3,342.00 quarry applicatio <br />4 <br />4 1~mertCltnf'n[ 1'ce ~i,72~},t}(} arrtel.(inle'.rlt ti't; <br />. <br />.S ~ ~,.~C1L;Ver51[71t, ttl 1 lcn operate<3r1. 4_Set lav ttilttit:e'.} ~~Y696.00 C:E)ltt'erSli)12 fee <br />%. ~ Primary co€trlttodrtre(s) #o be mined Jt. Fi.~r.E~ ~H N-A... R~c.~'S.,.. _ ..... _. _ _..- - <br />1 <br />5 ....:....... ....... <br />lncuit;ntal a>mnrodttle(s) to 1;~. minccT: l. -1_......._ .__Eb`+f ~ on4 yr 2. __- --- ---- _-- ------- - - (bs 1 t111ti%~~r <br />. 1 <br />lbs~'1'ons ~r =i...-._.......-._._%._.-.-.--_-..... <br />3. ------= ------~- _..Ihs/'I:ons!yr 5• ... ................'~......------- ---Ibs':Conuyr <br />2 <br />5 Anticipated end use of primary commodities to be min d: `~ F--~A i- <br />. <br />5.;3 ilnti.cipated end•use of in~dental commodities to be mined: <br />() -_-. -. <br />~jt~~ ------------------ <br />--------------- <br />-----------------------... <br /> .'~ ,~ `'! <br /> ' ,> .., - <br />1 <br />Office of genver Grand )unction • qurango <br />Mined Land Ret:lamation <br />Olticc~ of <br />A<;Cive and Inactive Mines <br />