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.. STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY R L CE!VED <br />Department of Natural Resourcm <br />1313 Sherman St., Room 215 AUG 19 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />Division of Minerals and GeoNIy <br />FILE COPY cm"RuenoN1ifAT1 was <br />FOR S'CANNIAAQ A52 N PZRWr C112) OPERATION <br />OWCK Off : Tiw= is a MNmnltier Alrrady A dgoed to tbb C4mwdon <br />Permit # M Q376g4t' (Plain rafmvnw dw fle number amreatlq aW=ed oo dm operation) <br />x New Application (Rule 1.4.5) Amosidme t Application (Rub 1.10) <br />Couversim Application (Role 1.11) <br />Permit # K (provido for AnoceidIxtents and Canvey of existing pemcilts) <br />DIVISION OF <br />MINERALS <br />&- <br />GEOLOGY <br />RECLAMATION <br />MINING-SAFETY <br />Bill Owens <br />Covemor <br />Crag E. Wakfier <br />rxecWve Din ctor <br />Roeald W. caaany <br />Acting Division Director <br />The application for a CamsMicti n Matcn& Rcgdw 112 Operation RAdwntion Pant contains dose major parts: (1) aloe appnca&n firm; <br />(2) Rldi%il8 AA Addmdmm 1, say seoteons of Fkbibit 65 (Cieowbnic l Subrmy Ex>nbit; and (3) &a app&Ation fee. When you submityom <br />application, be same to i wh do am (1) ggmpft Mond madnatmled IVORY ORIGINAL and am (1) copy of the completed b application <br />form, tam (2) copies of Exhibits A-% Addendum 1, gVropriste sections of 6.5 (Geotwindcal Stability EAn-ok and a chock for the application <br />fee dorm RW vAdar Sechm (4) below Fahibits sbmW NOT be bound or ma, 3-rmg binder, maps should be folded to 81f2" X 11" or 8 1/2" <br />X 14" size. To expedite procewiag, please pwvlda the in &a fainter and order &Wrlbod is this r=a. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, In the space provided, AL information requested below. <br />1. Appliemat/oner-atw or company name (game to be used on permit): _ Baca County <br />1.1 Type of aargamza>b = (corporation, Pattum"P ete.): Goverment Entity <br />1.2 LRS. Tax I.D. No. or Social Security Numbcr. 270033560 <br />Hinds Pit # 35 <br />2. Ooeratfon game felt. w his or site name): <br />3. Permitted aeMM (new or exWftg site): <br />3.1 Chsoge in acreage (+) <br />3.2 Total screage in Permit area <br />permitted scree <br />acres <br />100 <br />acres <br />4. Fe <br />4.1 New Applicafim 52.344.00 <br />application fee <br />4.2 New QuarryAppbcation S2t9_000 quarry application <br />4.4 Amy Fee 51.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by stamte) $2344.00 conversion fee <br />5. Prm auT oomilroditie(s) to be mbncd: r_,.a.,o t Sand <br />5.1 Incidental coanmodvic(s) to be mined: 1. _ Ibs/T onsfvr 2. / Ib sJTons/vr <br /> 3. / RWTOns/vr 4. / lb1/P Qe6T 5. / Ib s/TonshT <br />5.2 Anticipated end use of primary commoditie(s) to be mined: When supply ij% depleted. <br />5.3 Aadcipaeod end nee of bi cid ental commoditie(s) to be noised: N / A