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IIIIIIIIIIIIi 99 ap <br /> plIce <br /> STATE OF COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 21 S <br /> Denver,Colorado 80203 p <br /> Phone:(303)866.3567 F E 3 17 11', <br /> WV <br /> FAX:(303)8328106 DEPAR7MF.N'I'OF <br /> CONSTRUCTION NATER3IwsD""S'Onof 'rl" )S&Ge04Y NATURAL <br /> fteCdved LIMITED IMPACT OPERATION (110) RESOURCES <br /> RECLAMATION PERMIT APPLICATION FORK RorRomn <br /> SEP 1 0 J�97 lames S.Lochhead <br /> Executive Director <br /> Michael B.Long <br /> ��st,, ���r'•3i@(�i`R3E Division Director <br /> CHECK ONE: New Application (Rule 1.4) X Amendment Application (C.R.S. 34-32.5-110) <br /> Conversion Application (Rule 1.11) <br /> Permit I M - 92 - 054 (provide for Amendments and Conversions of <br /> existing permits) <br /> The application for a Construction Materials ited impact Mining (110) Operation Reclamation <br /> Permit contai s three major parts: (1) the4echnical <br /> ication form; (2) Exhibits A-J and Exhibit L, <br /> Addendum 3., ;Z sections of Exhibit 6.5 and Stability Exhibit, as required by the <br /> Office, and outlined in Rules 6.1, 6.2, 6.3, and 6.5; and (3) the application fee. When you <br /> submit your application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL <br /> and one (1) copy of the completed iv ry application form, two (2) copies of Exhibits A-J and <br /> Exhibit L, appropriate sections c 5 (Geotechnical Stability Exhibit), as required, and a check <br /> for the application fee descr' ader (4) below. Exhibits should NOT be bound or in a 3-ring <br /> binder; maps shouldMW folded 1/2' S 11" or 8 1/2" % 14" size. To expedite processing, <br /> please provide the Irlarmation We format and order described in this form. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly, in the space provided, all information described below. <br /> 1. Atmlicant/operator or company name (name to be used on permit): - <br /> C .g J Gravel Products, Inc. <br /> 1.1 Type of organization (corporation, partnership, etc.) : Corporation <br /> 1.2 I.R.S. Tax ID No. or Social Security Number: 34-0756576 _ <br /> 2. Operation name (pit, mine or site name): Ignacio Pit <br /> 3. Permitted acreage (new or existing site): 4 permitted acres <br /> 3.1 Change in acreage (+ or -) 5.9 acres <br /> Total Acreage in Permit Area 9.9 acres <br /> 4. Fees: <br /> 4.1 New Application S875.00 application fee <br /> Amendment Fee. (C,R.S. 34-32.5-125(II) ) S575.00 application fee <br /> 4.2 Conversion Fee (from 110d to 110 8$ 75.00 conversion fee (Rule 1.11.2(2)) <br /> 5. Primary commoditie(s) to be mined: -ravel <br /> 5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/yr <br /> 2, / lbs/Tons/yr 3. / lbs/Tons/yr <br /> 4, / lbs/Tons/yr S. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s) to be mined: salp t- cyst- <br /> 5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />