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,j; <br /> STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY 'M- 01 <br />Department of Natural Resources R .r,CC{> ED <br />G? V GV <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />FEB <br />172009 COLORADO <br />D I V I S I O N o f <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />CONSTRUCTION MATERIALSDiviSion Ot lieclamaoon RECLAMATION <br />MINING <br /> , <br />REGULAR (112) OPERATION Mining and Safes <br /> SAFETY <br /> RECLAMATION PERMIT APPLICATION FORM <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 # M - - (Please reference the file number currently assigned to this operati%Lld W. Cattany <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Division Director <br />Natural Resource Trustee <br />Conversion Application (Rule 1.11) <br />Permit # M - Da - 1('-' -2-3 (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 (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 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): Ctipr. i lid-0 ar+o{ sonc ZnC , <br />J <br />1.1 Type of organization (corporation, partnership, etc.): CO !?Par7 +16 <br />2. Operation name (pit, mine or site name): CCXM d1(-,,+4t M+ 1/)i'! h/,f #7, Amel ded <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />1/5 permitted acres <br />8 I'D acres <br />17- `? acres <br />4.1 New Application $2,696.00 application fee <br />4.2 New Quarry Application $3,342.00 quarry application <br />4.4 Amendment Fee -ter $2,229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) _¢Z 696.00 conversion tee <br />5. Primary commoditie(s) to be mined: SCAAd C?rov? _ <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/tiT 2. Ibs/Tonsiyr <br /> 3. / lbs/Tons/yr 4. / lbs/Tons/yr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: f -u-\.l 4- mull d Im ????r? C? ?o ? <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