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lUN 0 i 2006 <br />Division at Miaelak,~py Geology <br />~-abo~-~y~~ <br />CONSTRUCTION MATERIALS <br />LIMITED IMPACT (110) OPERATION L// <br />RECLAMATION PERMIT APPLICATION FORM <br />RECEI!/ED <br />Jt1N 2 2 2006 ~' <br />Division of Minerals and Geology <br /> <br />CHECK ONE: Tbere is a File Number Already Assigned to this Operation e~ ~ J <br />Permit # M -_ -_ (Please reference the file number currently assigned to [his operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule L 1l) <br />Permit # M -` ~ _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (I IO) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required <br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit yow application, be <br />sure [o include one (1) comolete signed and notarized ORIGINAL and one (I) copy ofthe completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />[he application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 1/2" X <br />11" or 8 1/2" $ l4" size. To expedite processing, please provide [he 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 described bel <br />o <br />w. <br /> t <br />~ tom/ <br />I. Aoplicant/ooerator or company name (name to be used on permitl: Cif "~ C f~l `7(`~ lJ 1 'tl lx A \`Cy <br /> 1.1 Type of organization (corporation, partnershiq etc.): ~ (Ill t~T~l rail\ 1[%121.\l.AE1J-~ <br />2. Operation name {pit. mine or site name): l,fl . N <br />3. Permitted acreage (new or existing sitel: permitted acres <br /> 3.1 Change in acreage (+) ~ acres <br /> <br /> 3.2 Total Acreage in Permit Area ~ acres <br />4. Fees: <br /> 4.1 New Application: 1094.00 application fee <br /> Amendment Fee (C.R.S. 34-32.5.125(11)): 719.00 application fee <br /> 4.2 Conversion Fee (from 1 IOd [0 110 875.00 conversion fee (Rule 1.11.2(2)) <br />5. Primary commoditie(sl to be mined: Ne -1QAV~l. <br /> 5.1 Incidental commoditie(s) [o be mined: ] UI~ / Ibs/Tons/vr 2. / Ibs/1'ons/vr 3. / Ibs/fons/vr <br />4. / Ibs/Tons/vr 5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ~CY~~ RA~AIIJ'f 6h1 K1 fJ~.ri <br />Anticipated end use of incidental commoditie(s) to be mined: 1J~ A <br />