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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources (D <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866.3567 <br />FAX: (303) 832 -8106 <br />D CONSTRUCTION MATERIALS <br />geCv E SPECIAL (111) OPERATION <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />Governor <br />Harris D. Sherman <br />10 013 RECLAMATION PERMIT APPLICATION FORM Executive Director <br />01 <br />Ronald W. Cattany <br />ReG1amat \O�' Division Director <br />i <br />& gate�J <br />Natural Resource Trustee <br />M n g <br />The application for a Construction Materials Special 111 Operation Reclamation Permit contains four major parts: (1) the application form; <br />(2) Exhibits A -L, Addendum 1, and any sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); (3) the application fee; (4) the Performance Warranty and if required a Financial Warranty. When <br />you submit your application, be sure to include one (1) completed, signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A -L, Addendum 1, appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as <br />required, a check for the application fee described under (4) below, and the fully executed Performance Warranty and Financial Warranty, if <br />required. Exhibits should NOT be bound or in 3 -ring binders; maps should be folded to 8 2" X 11" or 8 2" X 14" size. To expedite <br />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 space provided, all information described below <br />1, Apulicantloverator or company name (name to be used on the permit): <br />Colorado Rose Red, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): _Corporation <br />2. Operation name (pit, mine or site name): <br />3. Permitted acreage: 3.0 Permitted Acres <br />4. New Application: 8S 98.00 Application Fee <br />5. Primary commoditle(s) to be mined: Granite <br />6. Name of owner to the surface of affected land: "olra� <br />7. Name of owner to the subsurface rights of affected land: <br />8. Type of mining operation: ✓ Surface Underground In -situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />CO ari F— <br />PRINCIPAL MERIDIAN (check one): � 1, 6th (Colorado) 10th (New Mexico) l Ute <br />SECTION (write number): S 33 <br />TOWNSHIP (write number and check direction): T 4" i North South <br />RANGE (write number and check direction): R - East ✓ _ West <br />QUARTER SECTION (check one): _ NE NW ✓ SE I SW <br />QUARTER/QUARTER SECTION (check one): _ NE NW ✓ SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />7.6 northwest of Lyons Colorado Site elevation 6920 msl <br />Office of Office of <br />Minted Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />