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Pi`f ? rCC~~a~vJ t~ <br />!~'~ ~pp'~ ~~ ~~~~ STATE OF COLORADO <br />,,` DIVI$ION OF MINERALS AND GEOEOGYVL U <br />~ ? oepanme,n ~ ~~ Reaa.oea pivision of Ft¢clatnation, <br />t3r3 sbem,an sL, ROOm zfs and Safety COLORADO <br />Denver, Colorado 80203 Mining r~ b/I G-.l ,,L~(A,{-E,('1G(• ~C] ~~~j n t v t s t o N o r <br />Phora: D03) 866-3567 CONSTRUCTION MATERIALS / MINERAL S <br />F/JI:13o3) 8321It06 REGULAR (112) OPERATION ~~-~ G E O L O G Y <br />RECLAMATION PERMIT APPLICATION FORM as i~ieiv~%i~x~ciac <br />Bill Owens <br />Goverbr <br />CHf_'CK ONF: ___ There is a Fik Number Alxady AsaiRned to thin Opentb0 aussen George <br />Permit # M -_ _ ~ (Please reference the file number curremly assigned to this operation) rse<vave oirett« <br />New A licatiun (Rule 1.4.5) Amendment A Gcation Rule 1.10 x«r'le w. cwaay <br />PP -_ PP ( ) dvlsion DirWOr <br />_ Convenian Application (Rule 1.11) Nuvwl aaowce irustae <br />Permit # M -_°~~ OSE,., (pro~tide for Amendmeota end Conveniooa of existing pemtits) <br />The application (or a Construction Materials Regulaz 112 Operation Reclamation Permit amtains thrrx majorparts: (I) the application form', <br />(2) Exhibits A-S, Addendum I, any sections of Exhibit 6.5 ((ieotechnical Stability Exhibit; and (3) the application fee. When you submilyeau <br />application, be sure to ita:lude one (1) wmplete siAtted and notarized ORIGINAL and one (1) copy of the complc1ed application kmrt two (2) <br />copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for We application fee dcse[ibed <br />under Section (4) below. Exhibits should 11pT be bound or in a 3-ring binder, maps should be folded to R 12' X 1 1"or R I!Z" X i 4'size. To <br />exp~ite processing, pleasr provide the information in the format and order described in this form <br />GENERAL OPERA'f[ON INFORMATION <br />Type or print clearly, in the span provided, ALL infortnadon requested bebw. <br />I~ It•~~o nil m•~d ~ /.~rl ¢ of ~ So/LS <br />l . ~vlieantlocerator or comoaav name !name to be used o0 0ermltl: 1N.~ 6Pt! ~J S/t~ 9a~eE ~a /'2~IB ~ ~~G, `-- <br />l.l Tvpe r>Forganization (corporation, pa[irfcrship, etc J: P2v•}ylIteS~tP <br />2. OceraCron name (0it. mine orsite Dame): ~26Q-/- prT ~V. 2 <br />3. Permitted sereaae (new or e3iatirre ahel: _~ •94- pemtitied acres <br />3.1 Change in acreage (+) b3.~C~ acres <br />3.2 Total acreage in Permit azea ~ ~'t-. aerec <br />4. Feea <br />4.1 New Applicetism $2 344.00 -application fee <br />4.2 New Quany Application $2.906 00 quarry• app[icafion <br />4 4 Amendment Fee $I.93R.00 amendment fee <br />4.i Conversion to.l 12 operation (set by slamte) $2.344.00 conversion fce <br />i. Pr4man• rnmmadhida) to be mhrcd: 51nC~ / ~~ <br />5.1 ]ncidental ccmrmadifie(s)tn be mined' 1. - Ibs?onshr 2`_/ lbsJ7'onshT <br />3. / Ibs/Cortc~! x 4. I Ibsl1'ons/vr 5. I Ibs/fons/ri <br />5.2 Anticipated rnd use of primary- commoditie(s) to be mined: GO ~14•~: fC.l G~+ Or M 2+~v t a( 5 <br />5.3 Anticipated rnd use of incidental commoditie(s) [o be rttined: <br />FEB 0 7 2001 <br />Division of Re~r.,_ _ .. <br />wmin .'",. <br />Ofrrce of IXriced ~~afefyV <br />Mirsnl land RecWmation Active and Inactive Miriea Gmlogiral Survey <br />