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COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY <br />Completeness Notices Checklist <br />Operator: Riverside Aggregates, LLC <br />Mine Name: Friederichs Pit 112 <br />Permit Number: M- 2010 -080 <br />Specialist: AME <br />Completeness Date: 10/28/2014 <br />❑ <br />Operator Address: Rudy Torres <br />Riverside Aggregates, LLC <br />1750 County Road HH <br />Lamar, CO 81052 <br />❑ <br />County Planning Department <br />Specify County: Prowers <br />❑ <br />County Commissioners <br />Specify County: Prowers <br />❑ ♦ <br />Soil Conservation District <br />Specify SCD: Prowers <br />❑ ♦ <br />Municipalities (If Applicable: Within 2 miles of Operation) <br />Specify: Wiley <br />❑ ♦ <br />Army Corps of Engineers <br />Circle One: Colorado /Gunnison <br />Frisco <br />Durango <br />Denver <br />Southern Colorado <br />❑ ♦ <br />Division of Wildlife <br />Circle One: NW NE <br />SW SE <br />❑ ♦ <br />Urban Drainage (If Applicable: Within 100 year floodplain <br />— Adams, Arapahoe, Boulder, Denver, Douglas <br />and Jefferson counties) EPS Circle One: Y <br />❑ ♦ <br />Air Pollution (Health Department): <br />❑ ♦ <br />Historical Society: <br />❑ <br />State Land Board: <br />❑ ♦ <br />Water Quality (Health Department): <br />❑ <br />Water Resources: <br />❑ J� <br />BLM (If Applicable) EPS Circle One: Y <br />0 <br />❑ JP <br />Forest Service (If Applicable) EPS Circle One: Y <br />0 <br />♦ - Receive one paper copy of Application form, Legal Description and Location Map <br />fJ - Receive CD of entire application <br />