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CN..&oll <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 Q L O R, A. D O <br />Denver, Colorado 80203 °- i `. ry I c t o N 0 r <br />Phone: (303,866-356' "f""'yRECLAMAT1( N <br />FAX: (303! 832-8106 CONS'T'RUC'T'ION MATERIALS '? °.` ` MI N I NG <br />REGI'I.AR (112) OPERATION SA FTY <br />RECLAMATION PERMIT APPLICATION FORA <br />BiII Ritter, )r. <br />Governor <br />CHECK ONE: were is a File Number Already Assigned to this Operation Harris D. Sherman <br />tive t)irector <br />Permit i# f- Execu <br />?-f7 (Please reference the file number currently assigned to this operatigt, a w. catranv <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Divi<on Dirextor <br />Naturel Resource Trusted <br />_ConversionApplicati ule 1.11) <br />?5-.Qb3 (provide for Amendments and Conversions of existing permits) <br />Permit # YI -_ q _ q <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; Wraps should be folded to <br />8 11,12" X 1 I " 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): LO Ck-V\ C?tAA <br />1.1 Type of organization (corporation, partnership, etc.): -1LD"`'Ak Qov? <br />2. Operation name (pit, mine or site name): l r' <br />3. Permitted acreage (new or existing site): 9.'S _ permitted acres <br />3.1 Change in acreage (•i-) &. UU _ acres <br />3.2 Total acreage in Permit area -IS-919---- acres <br />4. Fees: <br />4.1 New Application $2.696.00 application fee <br />4.2 New Quarry Application. $3,342.00 quarry application <br />4.4 A.ri't:rtTrriet:ir lee <br />52.229.00 <br />arnet_.tlnlent tee <br />4 `Y C.0raversi,)n to 1 12 operate . t,se by slat nte) $2,696.00... conversion fee /v <br />5. Primary commoditiefsl to be minced: C((.ok-o cj.. ... <br />5.1 Incidental cornntodi£ie(s) to be mined: ~1 ._..e-._ ._(h5._t;on, yF 2, lbs 1 onsivr <br />3. lbsi,rorrsiyr 4. ibs I;onSryr 5. _lbs'_1:ons/w <br />------------------- <br />5.2 Anticipated end use of primary commoditie(s) to be mined: _5ag&-,C \a C-a_vas}.s.. ? _a_e?_?' ._ ..............__ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: -------------- r\*o e- --------- <br />Office of Office of <br />mined 1-and Reclamation Denver • Grand junction a Durango Activt? and Inactive Mines