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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY p hh_ O? Rec <br />Department of Natural Resources 7 ???? <br />1313 Sherman St., Room 215 NAY <br />Denver, Colorado 80203 2 7 2008 <br />Phone: (303` 866-356: CONSTRUCTION MATERIALS DNISIOn <br />FAX: (303, 832-8106 <br />REGULAR (112) OPERATION 01' Kecjamatj0J <br />Mining and `Safety <br />RECLAMATION PERMIT APPLICATION FORM <br />C© LO RA.D0 <br />D I V I S I O N OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />Governor <br />CHECK ONE: '.There is a File Number Already Assigned to this Operation Harris D. Sherman <br />-- Executive Director <br />permit # lei -1997- 058 -_ (please reterence the file number currently assigned to this operati$Aald w. Cattany <br />New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) Division Director <br />Natural Resource Trustee <br />Conversion Application (Rule 1.11) <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 (Geotechnicai Stability Exhibit; 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 (Geotechnicai. Stability:Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 l /2" X I I " or 8 U2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL, OPERATION :INFORyIATION <br />"Type or print clearly, in the space provided, ALL information requested below. <br />Applicant/operator or company name (name to be used on permit): Hall-Irwin Corporation <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): Baseline Resources <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (-t-) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 Ne%v Application <br />4.2 New Quart' Application. <br />44 Amendment Fee <br />4.5 Conversion. to 1 12 operatioI{;set by statute) <br />5. Primary commoditie(s). to be mined: gravel sand <br />5.1 Incidental. comnityditie(s) to be mined: 1:._.-,_,_._....._..._.-,...._ .............._..__)hsl Fons'yr <br />209.6 permitted acres <br />0 acres <br />20.9_.6acres <br />$2,696.00 application fee <br />53,342.00 quarry application <br />$2;229.00 amendment fee <br />2 c?96.00 conversion tee <br />Ibs 7onsryr <br />3. -__-- r Ibsifons' 4. _lhs I'onsijrr 5. Ibsr"Fons„yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction materials <br />------- ------------- - -------------------------------------------- <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Actives and Inactive Mines