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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />* ** 1313 Sherman Street, Room 215, Denver, Colorado 80203 Phone (303) 866 -3567 <br />1876 <br />TECHNICAL REVISION (TR) APPLICATION <br />FOR INTERMITTENT STATUS <br />(mining activities occur each year, for less than 180 days each year) <br />Today's date: !/ hz, r l azoo <br />Permit number: M- 9 0 o i - i/ Site name: Ge j uea l 6r<<---J 10, "t <br />County: C i blr-t TR number: (DRMS use only) <br />Permittee making request: /-C f b e r -t Co li "t y <br />Operator (if other than permittee): <br />Date intermittent status begins: ) <br />Reason mining activities (materials extraction, processing, or hauling) will occur less than 180 days per year: <br />SeveYr. L, en C' 8d �& ys�_CL 4LAt, <br />aver, --C !a- 1, a!aXG a XeOr 12t,f' ah hr`S (-,4 <br />Number of affected acres: )o a cre5 <br />Amount of financial warranty (bond) on deposit with the state: $ Al <br />Required fees for technical revision by permit type (please mark the correct fee and submit it with this <br />request for a technical revision): <br />Permit type Required TR fee Submitted (mark only one) <br />110c, 111, 112 construction <br />materials, and 112 quarries $216 <br />112 hard rock (not DMO) $175 ❑ <br />110d, 112d(1, 2 or 3) $1,006 ❑ <br />I request intermittent status for the above - referenced permit. This site has reserves <br />remaining to be mined. Mining activities will occur each year for less than 180 days per <br />year. RECE111 =n <br />Operator's signature:�L A,4— DEC 18 2013v' <br />Please note: Division of Reclamation, <br />Minix gg�� S fe <br />1. While in intermittent status, the operator must continue to comply with the Rules and Act, it clucIng <br />maintaining the site, and must continue to file an annual report and annual fee when due. <br />2. If production ceases for 180 days or more, the operator must either file a Notice of Temporary <br />Cessation, or reclaim the site. <br />