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~/I--d2oo ~- D S / <br />STATE OF COLORADO <br /> <br />DIVISION Of MINERALS AND GEOLOGY <br />Department of Natwal Resources <br />1313 Sherman $t., Room 215 <br />Denver, Colorado 80203 CONSTRUCTION MATERIALS <br />Phone: 1303) 8663567 / AUG 2 4 2004 ~ <br />fAx: f303) e32$to6 REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FOR1Rvisiaa at i5iaarals & Gealopy <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />COLORADO <br />DIVISION O F <br />MIN 6RALS <br />GEOLOGY <br />0.ECLAMATION•NINING <br />SAFETY•LCIENCE <br />Bill Owens <br />Governor <br />Permit # M -Z~ o (Please reference the file number currentl asst ed to this ation Greg E. watcher <br />~- y ~ OPer ) Executive DireMr <br />/ New Application (Rule 1.4.5) _ Amendment Application (Rule ] .10) Ronald w. Catlany <br />Conversion A lication ule 1. i I oivision oinxtor <br />--~- PP ~ ) Natural Resource Truriee <br />Permit # M - 20 °'°'~- oS -_ (provide For Amendments and Conversions of eltisting permits) <br />The application for a Construction Materials Regular ] ] 2 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, AddendLnn 1, any sections of Exhibit 65 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit yom <br />application, be sure to include one (1) comQete simed and notarized IVORY ORIGINAL and one (1) copy ofthe completed v r application <br />form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application <br />fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 812" X 11"or S ]2" X <br />l4" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, IEEE information requested below. <br />I. Aonlicantioperator or comnanv same (rime to be used on Dermit): ~3F n/-r ~ o K niYr- a, / <br />l .1 Type of organization {corporation, parmerslup, etc.): C o y N r y G; ry v F rz n! M E N `t"' <br />1.2 I.R.S. Tax I.D. No. or Social Security Ntunber: ~ 1} - ~ po 0 7 H- to <br />2. Operation name fort, mine or Bite Hamel: R E~ HE 2 'T R L.t 5 T S •-R' ='r^ <br />3. Permitted aeres¢e (new or eaGtin¢ aitel: <br />3.1 Change in acreage {+) <br />3.2 Total acreage in Permit area <br />4. Fces: <br />4.1 'New Application <br />4.2 New Qttatty Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary rnmmoditie(sl to be mined: N~ ~o'A a v E it _ <br />5.1 Incidental commoditie(s) to be mined: I . ~ - Ibslfoas/cfi <br />3. \ / Ibs/fons/yr 4. '1 / Ibs/1'ons/vr <br />~ ~7'. ~{ fZ permitted arms <br />acres <br />,3 7. £5 8 acres <br />$2 344.00 application fee <br />$2.906.00 quarry application <br />$1.938.00 amendment fee <br />$2344.00 conversion fee <br />2. ~ / Ibs/Tons~ <br />5. ~ / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ^~ o.. a r ., -T2ow n s I rvl a ~- .~-~ u a N ~ E <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: r <br />'~ Office of Office of Coloradr~ <br />Mined Land Rxlamation Attive and Inactive Mines ~ _ Geological Su <br />