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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY L ?'yED <br />Department of NaWral Res ice <br />cl? 1313 Sherman St., Room 215 <br />Denver, Colorado 60203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />AUG 19 2003 r/ <br />DIVISION OF <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING-SAFETY <br />Division al Minerals and Geology <br />FILE COPY CONSTRUCT](ONi1IATERIAIS <br />FORCPA REGULAR (PERMIr 112) OPERATION <br />CHECK ONE: Monk & FRe Number Ahv*dy Aadglned to thb Opowdon <br />Perri # M 9 -A?_4f (Please releroroe die fife mmdwoaaaotty mpe d to tins operation) <br />x _ New Application (lame 1.4.5) Agent Application (Rule 1.10) <br />Converaim Appfication (Ruk 1.11) <br />Permit # M (previde for Amendmeab and Caiaver doss of egg per) <br />Bill Owens <br />Covemor <br />Greg E. Walt w <br />Evecudve Director <br />Ronald W. cuany <br />Acting Division Director <br />The application for a Canstriw6m Materials RepW 112 Operation Rah m ltioa PWmnit Can ams three ma*parls: (1) the app&4itieea form; <br />(2) Exhibits AA Addoodnrn 1, any sealions of Exhibit 6.5 (Qeateclmieal Stability Exhibit; and (3) die application fee. When you submit your <br />applicslioo, be stme to i nclodo one (1) 2mmft sinned ad rioted IVORY OR,IGRQL mod oto (1) copy of the completed kM application <br />form, two (2) copies of ExWAts A-S, Addend-n 1, appropriate sections af6.5 (Geoteohtrical Stability F.adubit, and a cbc* for the application <br />fee domed under Sei boin (4) below. fthibir s aboald NOT be bound or is a 3-09 binder; maps should be folded b 812" X 11" or 8 1/2" <br />X 14" size. To expedite prooessiu& please pwvide the Womintion in Ifte form and order descl i and in tlris fa = <br />ORAL OPERATION INFORMATION <br />Type or print clearly. In the apace provided, WAU information requested below. <br />1. Apullbeant/oggARr or comig my name (Dame to be- used on permit): Baca County <br />1.1 Type of aoWWzaLian (corporation, partnership, etc.): 6overment Entity <br />1.2 ZR.S. Tax I.D. No. or Social Security Number: 270033560 <br />2. OpeLatka g me (pit, mine or site name): <br />3. Permuted acreage (new or esisiW site) <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fm <br />Hinds Pit # 35 <br />permitted acres <br />acres <br />100 <br />acres <br />4.1 New Application <br />application fee <br />4.2 New Quarry Application $2-W-00 quarry application <br />4.4 Ameadurent Fee $1,938.00 amendment fee <br />4.5 Conversion to 112 operation (set by siaarte) $2.344.00 conversion fee <br />5. P ft aryoomsedhielil to be mined: r_,-wXe i ggAA <br />5.1 Incidental car>smoditic(s) to be mined: 1. - Ibs/1 on4/vr 2. / Ib s(T <br /> 3. / Iba/P=26T 4. / lba/fo as/t7 5. / j hS/Tonshr <br />5.2 Anticipated end use ofprimary commoditie(s) to be mined: When supply id depleted. <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: _K / A