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1313 Shennen SL, boom 215 <br />DWW, Colorado 80203 <br />Phone: (303) 866.3567 <br />FAX (303) 832.8106 <br />STATE OF COLORADO <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK 0 _ Tsar Is a File Neumber Already Assigned to tics Opwadm <br />COLORADO <br />DIVISION of <br />Permit# M - - _ (Please refhrenm the file number currently assigned to this ope120013) <br />New Application (Rule 1.4.5) Q Anmdunent Application (Rule 1.10) <br />p� ` ✓ Cow rslen Application, (Rule 1.11) <br />Permit # M 2010 080 - (PMVWC for Alb and Conversku of existing permits) <br />MINING <br />SAFETY <br />The application for a CzUstru Lion Materials Regular 112 Operation Reclamation Permit contains three major darts: (1) the appliadon <br />form; (2) Extubits A -S, Addendum. 1, any sections of Exhibit 6.5 (GeotechnW Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sue to include one (1) and one (1) copy of the completed <br />application form, two (2) copies ofFidn'bits A %Addaxbmn 1, appropriate sections of 6-5 (GeoteeimW Stability Exhibit, and ado* for <br />the OPplication fee described under Section (4) below Exbibits should = be bound or in a 3-ring binder; maps should be folded to <br />8 U2" X 11" or 8112" X 14" size. To expedite processing, please provide the inbrmation in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or dearly, Is the qa provided, AQ khrondw regneded below. <br />1. A t/om ateer ar Y name (cams to be mass nernm): RiyetsWe, � r�egatw = <br />l.d Type oforgor (corporation, partnership, etc.): Lirrutead Liability Company <br />2. Ongmt1w os_*M (alL o bw w adte �j- Fdede fth3 Pit <br />3. rennitted saum (new or a deg *yl: <br />3.1 Chop in acreW ( +) <br />32 Total acreage in permit area <br />4. <br />9.9 permitted <br />9.1 acres <br />19 acres <br />4.1 New Application 52696.00 application fee <br />4.2 New Quarry Application 5334.00 9uw7 application <br />4.4 Amendment Fee $2228,40 amendmenthe <br />4-5 Conversion to 112 operation (set by stalate) S L696.0p conversion fee <br />5. Pdn= emaaeadi W to be nieed- Gravel Sand <br />5.1 Incidental coAemnodide(s) to be mined: 1. - IbelT'onsfvr 2. / baga yr <br />3. / lblimms/vr 4. ( _j}>irlfon4lvr 5. / lbsld' <br />52 Anticipated and use of primary eonmdoditie(s) to be mined- CorditcUon Material <br />53 Anticipated and use of incidental coamwdi*s) to be mined: ph <br />CEIVED <br />SEP , <br />1MV- ZC)1 4-0't *;U/Zb[4- D/VjSIpNpF 014 <br />MIIyjN6 AN� S ;Ojv <br />