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STATE OF COLORADO <br />DIVISION OF RKL4MATION, MINING AND SUM <br />Degwone,tt of Natural Re wurca <br />1313 Sherman SL, Room 215 <br />Dwr-W, Colorado 80203 <br />Pt OW: (303) 8663567 CONSTRUCTION MATERIALS D O L O R ADO <br />op <br />FAX: CM) 832-8106 REGULAR (112) OPERATION RECLAMATION <br />MINING <br />RECLAMATION PERMIT APPLICATION FORM SAFE fi <br />There L a Fhle Number Alrea we Rayar, k. <br />dY Assigned to this Operation <br />2.002 - 113 <br />PC=* 0 <br />-?-- -- (Please reference the file number, cru'W, assigned to this OPeretioa Dig. w <br />New Application (Rule 1.4.5) Amendment Application <br />Conversion Application (Rule 1.11) (Rule 1.10) Ro-W w. C <br />Division l?bsaor <br />2002 113 3 wwri rew,„n, Trine <br />Permit # A L-1002 for <br />Amendments and ConverdODS of existing Permits) <br />The application for a Construction Materials Regular 112 Operation Rechamatien Permit contains three mo Part.: the <br />form: (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geowchmical Stability i Exhibit and ? (1) application <br />the application foe. When you <br />gubm your application, be sure to include one (1) c (3) <br />Wlicabm form, two (2) copies ofExhibits A-s, Addendum 1 and one (1) COPY of the compheted <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee descn1W mder Section (4) below. Exhibits should tom. be, bound or in a 3-nag binder, maps should be folded too <br />8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, Please provide the infatuation in the format and order descnbed in this form. <br />GENERAL OPERATION INFORMATION <br />Type or pr1Dt clearly, In the apace provided, MS InformatioD <br />requested below. <br />1. A>fnlicant/eDerytor or coma r.,,.m ft mum to z used on nnmjo- 120th Estates Partners <br />1. h Type of orgaaizauon (corporation, partnership ) LL P <br />,etc. <br />2• ?atdon Da•?e (Dl >". n- -+te _----•. 120th Estates <br />3. Peri Ditr.?l ....,..e. (new or :lartne etrnl• <br />3.1 Change in acreage (+) <br />3.2 Total same m Permit area <br />f <br />4. <br />4.1 New Application <br />4.2 <br />, <br />New Quarry Application <br />4.4 ' <br />Amendment Fee ' <br />4.5 Conversion W 112 <br />operation (set <br />5. Prltnarv Ca?enditle(a) to lye minet: <br />5.1 Incidental cxmimoditie(s) to be mined <br />3 <br />... <br />q? .. N?jl <br />1. <br />41.3 <br />0 Permitted acres <br />41.3 acres <br />00 application fee <br />.1 quatry.application <br />-52I(y?.9s0 went fee <br />- Jf- conversion face <br />2,229.00 <br />2. <br />--- / Ib-"Tons/vr 4. / ibs? onQJti, <br />5. __ / Ibsrl'orrs/vr <br />5.2 Anticipated end use of primary eommoditic(s) to be mined: COncmte and Asphaft <br />5.3 Anticipated end use of incidental commoditie(s) to be mined:Flll <br />Oftiro d <br />Mined Land Ree(aerytion DWW • GrandhunWon • Dcxanp 015mof <br />Active and hKilve Mines