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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY CE <br />Departrnent of Natural Resources h <br />1313 Sherman St, Romp 215 MAY 0 7 2009 <br />Denver, Colorado 80203 C O L O RA D O <br />Phone (303) 866.3567 pivitsi pf F2ec1:mat1,0 for D I V I S i O N O F <br />RECLAMA <br />M TION <br />FAX: (303) 832-8106 Miming and Safety, ??^y,? ©J <br />INING <br />jJ ? ? % ??09 sAF&EW <br />P pL (e?' 1 Pi CONS:U71ON MATE RIALSr?'bi Dip . <br />Bill Ritter, Jr. <br />")LM =SD PT (110) OPERATION Governor <br />' Harris D. Shemran <br />RECLAMATION PERAUT APPLICATION FOR Executive Director <br />Ronald W. Cattany <br />Division Director <br />CHECK ONE: i J There is a File Nam6er Already Assigned to this Operation Natrirai Resource Trustee <br />G <br />Permit # M - ??9 3U <br />_ -_ w?T (Please reference the file number currently assigned to this operation) <br />_ New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required <br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be <br />sure to include one (1) complete sinned and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 81/2" X <br />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 described below. <br />1. Ayolicant/operator or company name (name to be used on Dermit)•, Ccici1-Bet C rre?' eoa fix' Z"c <br />1.1 Type of organization (corporation, partnership, etc.): fY3? 4r*i f <br />2. Operation name (pit, mine or site name): <br />3. Permitted acreage (new or eristing site): <br />3.1 Change in acreage (+) <br />3.2 Total Acreage in Permit Area <br />4. Fees: <br />x.59 permitted acres <br />acres <br />. 59 acres <br />4.1 New Application: $1,258.00 application fee <br />Amendment Fee (C.R.S. 34-32.5-125(11)): 827.00 application fee <br />4.2 Conversion Fee (fromt 110d to 110 696.00 conversion fee (Rule 1.11.2(2)) <br />5. Primary commoditie(s) to k mined: G <br />5.1 Incidental commoditie(s) to be mined. L lbs(r`ons/vr 2. / 1bslTons/vr 3. / 1(i?T /vr <br />4. / lh?/Tons/w <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />Anticipated end use of incidental commoditie(s) to be mined: <br />5. / Ibs/Tons/w j <br />Office of <br />It ?f1 <br />Mined Land Reclamation Denier • Grand )unction • Durango Office of <br />Active and, Inactive Mines