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/Y- ;1d/l - o 6 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Detwunent of Natural Resources <br />1313 Sherman SL, Room 215 _ COLORADO <br />Denver' Colorado 80203 CONSTRUCTION MATERIALS DIVISION O F <br />Phone: (303) 8663567 RECLAMATION <br />FAX: (303) 832-8106 REGULAR (112) OPERATION MIN I N G <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />8111 Riser, Jr. <br />CU CK f3PTE: There Is a File Number Already Assigned to this Operation Cwvernnr <br />2008 038 Harris D. Shemisn <br />P (Please reference the file number currently assigned to this operation)ea,are Director <br />L_ 3 New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Division Dbecum <br />E.r Conversion Application (Rule 1.11) Naa.ai sesouroern,ree <br />Permit # M _ 2008 _ 038 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation. Purclamation 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 s?ned p notarized QBIGINAL and one (1) copy of the completed <br />application foram, 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-miming binder; maps should be foxdod to <br />3 1%2" X 11" or 8 V2" X 14" size. To expedite processing, please provide the information in the format and order described iu the. fonn. <br />-- -? - GENERAL OPERATION INFORMATION <br />Type or print clearly, in the spare provided, ALI, Information requested below. <br />1. a4At1 ctn /sopaLntor or In _Mparae natne to be used on?,e it , Yuma County Road and Bridge -?? <br />1.1' Type of crrp,,inization (corporation, partnership, etc.): County' Governiment <br />' , C1 1 sr" h lame 1tLaL'att'p site narnP : Deterd.ing Pi't^ _..-. <br />3. joj: nWttkd a2rEi rreNI Ar R=699 Ltd. <br />',. t Charge it, acreage (+) <br />3: ? Total acreage in Permit area <br />4. Pees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Pe1mlar rolxnnic?.tE>t 4 to be ruI>Red: Road Baso <br />28.65 V'r.-traim(I acres <br />78 acres <br />56.65 acres <br />56n. 7 <br />L6?%o ak plicsation ft e <br />A2.t)0 quarry appllG el. ion <br />__V <br />_12 229.Qg amovJ-rent J.ee <br />_11,6%.00 conversion fee <br />5.1 Incidental commoditie(s) to b c mined: 1, 0 1??r sJ?r 2. ! _ mbar"Tons/?r <br />3• _?__ _ ?AJyr _ 4. r o 5• -- _ 11 sl1 on /yr <br />5.2 Anticipated rbe use of printWry commoditic(s) to be ruined: 11':)ad Construction _, - - --?- ? <br />5.3 Anticipated end use of incidental commoditie(s) to be mined. NIA Office of Office of <br />Mined Land Reclamation Denver • Grand juiwJon • Durango Active and inactive Mines