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.CO <br />- COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />*, 1876 �* 1313 Sherman Street, Room 215, Denver, Colorado 80203 Phone (303) 866 -3567 <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: / / 1.2.6- / :2013 <br />Permit number: M- � Qo I - 0 l O Site name:9 / 6son 6ro ve- / P , f <br />County: _ Lrj c e f TR number: (DRMS use only <br />Permittee making request: C f h z r l i d o <br />Operator (if other than permittee): <br />Date intermittent status begins: ! / I/ 9.0 I y <br />Reason mining activities (materials extraction, processing, or hauling) will occur less than 180 days per year: <br />Nau Out DF Se Vtre/ p;f we C nnat haul Aso cAys ye -e r, <br />_I.ve. cc�era6� cc6owf,� -3 rh�„ttis a �yeer oc,7`' �,F fti;s ��f <br />Number of affected acres: 30 a e'rcs <br />Amount of financial warranty (bond) on deposit with the state: $ <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 />1 IOc, 111, 112 construction <br />materials, and 112 quarries $216 <br />112 hard rock (not DMO) $175 ❑ <br />1 IOd, 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. <br />Operator's signature:�Z /11e <br />Please note: <br />1. While in intermittent status, the operator must continue to comply with the Rules and Act, including <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 />