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)a f <br />STATE OF COLORADO <br />DIVISION Of RECLAMATION, MINING AND SAFETY tiVed <br />Department of Natural Resources / <br />1313 Sherman St., Room 215 ?/ DEC ??Q <br />u C O L O RA D O <br />Denver, Colorado 80203 LC 1 7 a t v t S I O N o OF Phone: (33) ( 0i g ?D RECLAMAT <br />FAX: O(30 CONSTRUCTION :MATERIALS MINING <br />-&- <br />REGULAR (112) OPERATION Dufal,;O i is t?1 CZffice <br />RECLAMATION PERMIT APPLICATIOIP ??o T 1?cGl?irt` Icon, SA ETY <br />JAN 0 5 2009 ? giini 9 and Safer , <br />tlon, Y Bill Ritter, lr- <br />Division of Reclama Governor <br />and Safety <br />CHECK There is a File Num r Already Assigned to this Operation Harris 0. Sherman <br />Executive Diredor <br />Permit # M - -7--- (Please reference the file number currently assigned to this operatitpro?,ald W. Cattany <br />New Application Rule 1.4.5 Amendment Application (Rule 1.10) Divislon Director <br />( ) Natural Resource Trustee <br />Conversion Application (Rule 1.11) <br />permit # M - &O -?- (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 I, any sections of Exhibit 6.5 (Geotechnical 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 (Geotechnical 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 1/2" X 11" or 8 I/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION L'dFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />I. Applicant/operator or company name (name to be used on permit):? Pt ?aa'U 4- <br />Type of organization (corporation, partnership, etc.): /D.4r ? e#A- St z <br />1. 1 <br />2. Operation name (pit, mine or site name): t? WI -1rj ?t <br />3. Permitted acreage (new or existing site): G permitted acres <br />3.1 Change in acreage (+) Z. Y. 1 acres <br />3.2 Total acreage in Permit area O d__ acres <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />$2,696.00 application fee <br />$3,342,00 quarry application <br />X2,229.00.. amendment fee <br />$2,696.00 conversion fee <br />5. Primary comrnoditiets) to be mined: a v <br />5.1 Incidental commoditie(s) to be mined: I. 23 k -,OLD 1bsfTons/yr 2. ! lbs/Tons/vr <br />3. lbsi Tonsiyr 4. 1 ibs/ Tonsf 5. ! !bs/Tons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: IP 0,1 JAS G r a ?& ? -- <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 Active and Inactive Mines