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<br />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 C O L O R A D O <br />Phone: (303) 866.3567 CONSTRUCTION MATERIALS D I V I S I O N o f <br />FAX: (303) 832-8106 REGULAR (112) OPERATION MI NTCI?ON <br />RECLAMATION PERMIT APPLICATION FO - &- <br />NnV u 3 2010 SAFETY <br />Divisi'-., ..i Bill Ritter, )r. <br />There is a File Number Already Assigned to this Operatiokfining and Saftty Governor <br />CHECK ONE: C31" <br />. Harris D. Sherman <br />P M - o? - ,(Please reference the file number currently assigned to this operatiox)ectmve Director <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W. Cattany <br />Division Director <br />Conversion Application (Rule 1.11) Natural Resource Trustee <br />Permit # M -oZ,00-4=- (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 sisrted 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):C 0 - m - (--I Zo S?O iR e 1 L" ? ` C , <br />1.1 Type of organization (corporation, partnership, etc.): ?.t? rrfV ?yiv At 1 l., L1 C.O (Z.?O A'1 19 Y1 <br />2. Operation name (pit, mine or site name): C CAA, (' 4 Z p ® YV e. , t V e-r A- 3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4 1 <br />permitted acres <br />acres <br />acres <br />4. Fees: <br />4.1 New Application $2,696.00 application fee <br />4.2 New Quarry Application $3342.00 quarry application <br />4.4 Amendment Fee $2,229.00 amendment fee <br /> ?? ? <br />Conversion to 112 operation (set by statute) o,. re?1y ?'Vvvt' 44 t.,G $2,696.00 conversion fee ?' <br /> A- O <br />'5 C-( <br />-e <br />? ` <br />5. Prim ,> <br />' < <br />A <br />, <br />ary commoditie(s) to be mined: <br />5.1 Incidental commoditie(s) to be mined: 1. V. C?? (:._ lbs/Tons/vr 2. h -Q )r,. Cr- Ibs/Tons/vr <br /> 3. -'KA YX/'7C. lbs/Tons/yr 4. :?n <br />/OYI. ?- lbs/Tons/vr 5. Ibs/Tons/ <br />5.2 - <br />Anticipated end use of primary commoditie(s) to be mined: O & 5-? C U C.-E- I oO '%- 4 IM 2 <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: A <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction Durango Active and Inactive Mines