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County L? dG# <br />TX 3 <br />COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />1313 Sherman Street, Room 215, Denver, Colorado 80203 Phone (303) 866 -3567 <br />TECHNICAL REVISION REQUEST FOR INTERMITTENT STATUS (active less than 180 days a year) <br />Today's date: y- $ /3 <br />File No.: M- / 9 91) tie 5' Site name: Ia R AvC c /2 4'/ 9 <br />Permittee: JZ 0 t A' ,.(Pz C <br />Operator (If other than permittee): Bl3Cy (Ow rvry <br />Date intermittent status begins: If —i? <br />TR# (DRMS use only) <br />I request intermittent status for the above - referenced permit which has reserves remaining to be mined. The <br />affected lands are to be used for less than 180 days per year. If affected lands are not active for more than a <br />year the operator will need to apply for temporary cessation. <br />Reason for not operating more than 180 days per year: B4-6,0- (ow yr y (iscs 77' C ,,rt <br />ev 4- <br />TCR 1)t CST 1i f3S <br />Number of affected acres: /'PDX. /3 <br />Financial warranty (bond) on deposit with the state: i kg 098 <br />Required fees for technical revision by permit type - please mark the correct fee and submit it with your <br />request for a technical revision. <br />Permit type Required TR fee <br />110c, 111, 112 construction <br />materials, and 112 quarries $216 <br />$175 <br />112 hard rock (not DMO) <br />110d, 112d(1, 2 or 3) <br />Operator's signature: <br />$1006 <br />Submitted (mark only one) <br />n <br />RLc E <br />A (R 1 fl 201 3 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />The operator acknowledges that they remain responsible for complying with the Rules and Act and <br />remain responsible for annual reports and fee when due. <br />