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aNJ Zook Duo
<br />STATE OF COLORADO
<br />DIVISION OF RECLAMATION, MINING AND SAFETY
<br />Delianment of tiatural Resources
<br />1313, Sherman `t., Room 215,
<br />Denver, Colorado 80203
<br />Phone: (303) 366-3567
<br />FAX: (303; 332-8106
<br />RECEIVED
<br />AUG 2 0 2000
<br />pivision ofa d Safety ns
<br />Mining
<br />C0NsT.P,uc ITON MATERIALS
<br />I.I:MITEI) IMPACT (110) OPERATION
<br />COLORADO
<br />Divt s i () Ilk o r
<br />RECLAMATION'
<br />MINING
<br />- &I -
<br />SAFETY
<br />Bill R;tter, Jr.
<br />Gt>'•re'rrior
<br />Har65 D. Sherman
<br />IMC14AMATION PI:r'RN1:1T APPLICATION FORM fxecut:veDirector
<br />Ronald W. Cattafly
<br />Division Dimaor
<br />Natural Resource fruslc*.
<br />G) tFCK CJNE: ?_. There is a File Number Already Assigned to this Operation
<br />Permit 60,Please reference the file slumber currently assigned to this operation)
<br />X New Application (Rule 1.4.5) Amendment Application (Rule 1. 1.0)
<br />Conversion Application (Rule IA t)
<br />Permit1 (provide for Amendments and Conversions of existing permits)
<br />The. application for a Construction Materials I.:irnited Impact (110) Operation Reclamation. Permit contains three major parts: (I ) the
<br />application form; (2) Exhibits A-.1, Exhibit I.,, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required
<br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1.)(b); and (3) the application fee. When You Submit. your application, be
<br />sure to include one (1) complete signed. and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies
<br />of Exhibits A-.1, Exhibit L, Addendum. 1, and appropriate sections of 6.5 (Geotechnica.l Stability Exhibit), as required, and a check for
<br />the application fee described tinder (4) below. Exhibits should NOT be bound or in a.3-.ring binder; maps should be folded to 8 112" X
<br />I I" or 8 112" X 14" size. To expedite processing, please provide the information in the format and order described in this form.
<br />GENERAL OPERATION fNFORMATION
<br />Type or print clearly, in the space provided, AU, information described below.
<br />1. Applicant/operator or company name (name to be used on permit : _,_CLG F.. RMS_.,._._ 7j??_---------.---
<br />1.1 Type of organization (corporation, partnership, etc.): Limited L a i 1 i = C'nmpan
<br />- --------------
<br />2_ Operation name Sit, nine or site name : CLG FARMS LLC
<br />permitted acres
<br />3. Perinitted acreage (new or existinp, site): -9-: 41
<br />iTC;ri::S
<br />3.1 Change in. acreage (+ }
<br />9 . 4 1 acre
<br />3.2 "Total Acreage in Pc-rfrtit Area
<br />4. Fees-, _jg? ,?.. appli-;alion f6
<br />4 Y E'i ,.
<br />T£,T.::•,.t o1.7G'.'} .'??J1 Et ate: F'i! {?-f. 3.1 Amen, '.y f1t 1.'i! tb SC .. T
<br />#; t xl C} [#u.(1 is ?.rcx.'1:?T::; ?i{._11(=i.i . ...{,3 ?}
<br />ct {rot1i? ,, 0cl €. 10 1
<br />._...W, ? -___».......
<br />I?I'fnlarv cOllltniltlltie(I to bC IIIIIt[d: gravel -_..-------- __------- . _
<br />? l1sS:;'fGHS VI ........_..._....._......lhsr"fon4'vr
<br />5.1 Illcl{aental commoditie(s) to be mined: 1. -_none lbsi l pns_vi -_
<br />4• 5. ................-r.'....-..._....._It?s i oi3s}_r
<br />S 7, ?„IttCtpiit+.':? kf1C1 l1SC: i?f?;'cT''12:?% C3.}?tY,t7t{tilc(:1' ;;E) 47C Ct1+.T;CC.: road
<br />..:••` :.T1i; i..,s!_i :tz_stlE_F_tetl.:..ll?iSl.e.! iC)i}:°. r.2ittegenera-struc t?3_o-n
<br />Anti;: aist
<br />Office Of icli'r ctld lt" iCtiv ? h•tit (`5
<br />fit;;#lec;l 1-and Reclarlation Dc.•nva r • Grand Junction, I urarz o
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