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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 CONSTRUCTION MATERIALS <br />Ph +?p <br />^ <br />? v <br />D O VI S L Ot O N o0 <br />one: (303) 866-3567 , <br /> <br />FAX: (303) 832-8106 /OO REGULAR (112) OPERATION <br />O <br />, t° ' <br />(1 RECLAMATION <br />MINING <br />RECLAMATION PERMIT APPLICATION FO <br />- CI <br />Ma RM' SAFETY <br /> , <br />Divislon of Recla <br /> <br />CHECK ON <br />El Mining & Saf( ?M Ritter, Jr. <br />r <br />G <br />E: <br />There is a File Number Already Assigned to this Operation ove <br />nor <br /> <br />Pe Harris D. Sherman <br />M -- -_ (Please reference the file number currently assigned to this operatiola)ecutive Director <br /> New Application (Rule 1.4.5) Amendment Appli cation (Rule 1.10) Ronald W. Cattany <br />Division Director <br /> Conversion Application (Rule 1.11) Natural Resource Trustee <br />Permit # M - - (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 1 1" 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/overator or company name (name to be used on permit): C t G A c s . L.. L . L . P, <br /> <br />1.1 Type of organization (corporation, par iership, etc.): L, L • ?.. p. - t. <br /> <br />2. Operation name (pit, mine or site name): ti t'r <br /> <br />3. Permitted acreaee (new or existing site): / <br />(O permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total acreage in Permit area 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 Amendment Fee $2,229.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2,696.00 conversion fee <br />5. Primary commoditie(s) to be mined: Jgan 114 42 a s 3.1- <br />5.1 Incidental commoditie(s) to be mined: 1.- lbs/Tons/yr lbs/Tons/vr <br />2. 'IR <br />3. / Ibs/Tons/vr 4. / lbs/Tons/vr S <br />5. ?Sl / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: o nr eu. ? } ;?hwav C O? ruCT , b {\ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: _K`c lF' <br />Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Office of <br />Active and Inactive Mines