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TATE OF COLORA~ <br />DMSION OF MINERALS AND GEOIAGY n <br />Depamnent of Natural Resauras / •~~/ <br />1313 Shaman St., Room 215 V ~Q~ ' <br />Denver, Calcodo eom3 ~ y o O L 0 RA <br />rtlaie: (303) ees-3ss7 CONSTRUCTION MATERIAIS MINER. <br />FA1C: D031832$106 REGULAR (112) OPERATION ~ G E O L O <br />RECLAMATION PERMIT APPLICATION FORM ~ ar uriit~ic i <br />Bill Oweru <br />CHECK ONE: X There's • FRc Numbej Already Aulgned W thb Opentlon <br />awdt ceoige <br />Permit # [~v -1~ -~-aig (Please referatce the file number aurealtly assigned [o Otis operation) ~"B a1°f°0f <br />G <br />aanald w. t~ <br />New Application (Rule 1.4.5) ~ Amendment Application (Rule 1.10) ppvyyp, ply <br />k Canversloo Application (Rule I.11) N°"r'I Q°1O1f° T"itle` <br />Pertttit # M - 19 -~• c~ (provide for Ameedmmb a~ Coovonbna of eristing permits) <br />The eppbcatian for a Constnrction Materials Regular 112 OpaationRcelamation Pemtit contains throe majorparts: (I) the application form; <br />(2) Exhibits A-S, Addendmn 1, any sections of Exhibit 6.5 (Ceotcehnical Stability Exhibit; and (3) the application foe. When you submityour <br />application, be sane to include one (1) conmlete aimed mid notarized OR[GIIVAL and Otte (I } copyof thecontpleted applicetialfotri4 two(2) <br />copies ofExhibits A-S, Addrnfim 1, appropriate aedions of6.5 (Ceotechoical Stability Exhibit, and s chock far the application fee described <br />raider Section (4) bebw. Exhibits should ~ be boutd or in a 3-ringbirtder, maps sllouldbe folded to 8 1 /2" X I 1"or 812" X 14" svt. To <br />expdite prucesging, please provide the iafonomion iu the format and order described in this form. <br />GENERAL OP112ATION INFORMATION <br />Type or print clearly, io the span Provided, ~ mtormation regaated below. <br />1. AoplieanUonentoror oamoanv name name to be aced as permit): ~t-o R.r.DO MAP-P~l~, ~KG. '/ <br />1.1 Type of organization (corpormioa, pmUiership, etc.): ~gR,PcQ.AT 1 n N <br />2. O tbn name (pit. mineor wife name]: ~ 1-1•`Y )~ 1 N ~S <br />3. Permitted aereaaa (new or e><bthttr aih): <br />I O permitted aces <br />3.1 Change in acreage (+) ~rra I -„ .. _,,.,} G 2- acres <br />3.2 Total acreage in Permit area ``~'1°`t ` - ~ / 32 acres <br />4. ~ OCT 2 ~. 2G~5 ~~~/// <br />4.1 New Application $2344.00 application foe <br />4.2 New Quarry Apptication n' _. ' a ai fuit..~ ,. $2.90600 quarry application <br />4.4 AmendmaitFce .' isw $1.938.00 amaldmetttfee <br />/4.5 Conversiai to 112 operation (set by statute) $2.344.011 wnversion foe <br />5. Primary rnmmodhle(s) to be mhted: MA V~,L'E- <br />5.1 In~tid®tal commoditie(s) to be mined: 1. l~~A - Ibsffoas/vr 2. _ / lbs/fon9/yr <br />3. / Ibslfonslvr 4. / Ibslfons/yr 5. / lbslfonsPor <br />5.2 Anticipated end use ofprimmy cormtoditie(s)to be mined: ~x>-rsQ-ED MkP11i>'-t~-AN05cR~~7Gtr.1~i G{Y.rnr[AL <br />5.3 Anticipated eod use of incidemal comvtoditie(s) to be mined: ~t+~gtDt~£ ~ t:mc.~T $ ~LrrY• ~n(Y?>r~Y~ <br />Oaks of O#ke of Colorado <br />Mind Land Redamalbn Alive ad tnatdve Mines CrtoWgkal $arvey <br />