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STATE OF COLORADO <br />�W:Department DIVISION Of RECLAMATION, MINING AND SAFETY <br />of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 567 O � COLORADO <br />Phone: (303) 86fr35b7 DIVISION <br />FAX: (303) 832-8106 RECLAMATION <br />MINING <br />SAFETY <br />CONSTRUCTION MATERIALS <br />SPECIAL 011) OPERATION © <br />RECLAMATION PERMIT APPLICATION FORM <br />i/M- 2015 -011 (f; 2 3 <br />DIVISION OF RECLAMATION <br />The application for a Construction Materials Special 1 I I Operation Reclamation Permit contains fourmajor part'tfie 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(l)(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 (Gcotechnical 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 I I" 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 />I. .applicant /operator or companv name (name to be used on the permit) <br />Castle Rock Construction Company of Colorado, LLC <br />1.1 Type of organization (corporation, partnership, etc.): partnership <br />2. Operation name (pit, mine or site name): Rueb Borrow Pit <br />3. Permitted acreaee: 10 Permitted Acres <br />4. New Application: $898.00 Application Fee <br />5. Primary commodities) to be mined: Dirt Borrow <br />6. Name of owner to the surface of affected land: Justin J Jr Rueb Trust & Barbara R Rueb Trust <br />7. Name of owner to the subsurface rights of affected land: Justin J Jr Rueb Trust & Barbara R Rueb Trust <br />8. Tvpe of mining operation: F1 Surface [D Underground f�j In -situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />CO Kit Carson <br />PRINCIPAL MERIDIAN (check one): � 6th (Colorado) 711 10th (New Mexico) F Ute <br />SECTION (write number): S-2 <br />TOWNSHIP (write number and check direction): T _ 9S� North South —F7 RANGE (write number and check direction): R 48W I I East West <br />QUARTER SECTION (check one): NE N W x ! SE SW <br />QUARTER/QUARTER SECTION (check one): NE x NW SE _ SW <br />GE'vERAL DESCRIPTION : (the number of miles and direction from the nearest town and the approximate elevation): <br />approx. 1 miles southeast of Vona, CO, 3/4 miles east of I76 & CR23 <br />elevation 4480' <br />Office of <br />Mined Land Reclamation Office of <br />Denver • Grand junction •Durango Active and Inactive Mines <br />