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<br />iiiiiiiiiiiiiiuiu ~, <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (3031 866-3567 <br />FAX: (3031 8 32-81 06 <br />\/~ <br />/ <br />~ <br />I~ <br />~ ~ <br />s <br /> <br />v DEPARTMENT OF <br /> NATURAL <br /> RESOURCES <br /> <br />JUI 1 4 1997 <br />~IYIEiyii "~ :•ni ro~o~a u utiU~OQY <br />CONSTRIICTION MATERIALS <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT APPLICATION PORN <br />Roy Romer <br />Governor <br />lames $. Lochhead <br />Executive Director <br />Michael B. Long <br />Division Direnor <br />CHECK ONE: ~ Nex Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # - -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical <br />Stability Exhibit; and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete signed and notarized IVORY ORIGINAL and four (4) copies of the completed <br />ivo application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 <br />(Geotechnical Stability Exhibit, and a check for the application fee described under Section (4) <br />below. Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" <br />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and <br />order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly in the space provided the information requested below. <br />--------------------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------------------- <br />1. Applicant/operator or company name (name to be used on permit,: m _ G"'1_ o~~ <br />Hall-Irwin Construction Company <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. operation name (pit, mine or site name): Baseline Resource <br />3. Permitted acreage (new or existing site) 80.96 permitted acres <br />3.1 Change in acreage (+ or -) <br />3.2 Total acreage in Permit area <br />4. <br />4.1~ New Application <br />.2 New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5 <br />0 acres <br />30.96 acres <br />__51,875.00 application fee <br />52,325.00 quarry application <br />53.100.00 milling application <br />51,550.00 amendment fee <br />51,875.00 conversion fee <br />Primary commoditie( s) to be mined: (,ra vel Sand <br />5.1 Incidental commoditie(s) to be mined: 1. N/A - lbs/Tons/vr <br /> 2. / lbs/ Tons/vr 3. / lbs/Tons/vr <br /> 4. / lbs/ Tons/vr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ( :nnstruCtion ~latel'ial <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A <br />__ ... - .. <br />_. ~. <br />. _.._ ` <br />_ ,~_ ~ .r ..... . <br />