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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources RECEIVED <br />1313 Sherman St, Room 215 <br />COLORADO <br />Denver, Colorado 80203 <br />Phone: (303) 866.3567 <br />CONSTRUCTION MATERIALS <br />N()V G 3 010 i OFF <br />D <br />RECLAMATION <br />FAX: (303) 832-8106 REGULAR (112) OPERATION _ MINING <br /> RECLAMATION PERMIT APPLICATION b)-' a"iatlon, <br />finin SAFETY <br /> g and Sa`--ty <br />Bill Ritter, Jr. <br />CHECK ONE: El" There is a File Number Already Assigned to this Operation Governor <br />, r - O V1 Harris D. Sherman <br />Pe M (Please reference the file number currently assigned to this operatiolt)ecunve 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 a t96 - O b- (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 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. Applicantloverator or company name (name to be used on nermit):c aAr V 1 Z-V c 3?' O iR e <br />1.1 Type of organization (corporation, partnership, etc.): \..I+r YYWQ"?-?' ?V? R ers ?? 1,Z vl CO 0 12, X 4. <br />2. Operation name (ait, mine or site name): 0 Gt. r r ?. mo ?T 9 rv , N of <br />3. Permitted acreage (new or existine site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />01 1, 9 - 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 />Conversion to 112 operation (set by statute) CAACC o-.4y ?y ?yvt v {?- t $2.696.00 conversion fee ?' <br />5. ` Primary commoditie(s) to be mined: -t> C'' ,C? -> -?- O <br />5.1 Incidental commoditie(s) to be mined: 1. V\\. CL.(' - lbs/Tons/vr 2. h-Q V\, Cr- lbs/Tons/yr <br />3. lbs/Tons/vr 4. /. c6Y\,r-lbs/Tons/?r 5. lbs/Tons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: U C-4- I ov%- e <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines