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-P <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Nahni Resources <br />1313 Shemlan St_, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 886-3587 <br />FAX: (303) 832-8108 <br />STATE OF COLORADO <br />RECEIVED <br />JUN 012015 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: Ir -t-- There is a File Number Already Assigned to this Operation <br />COLORADO <br />DIVISION of <br />RECLAMATION <br />MINING <br />SAFETY <br />Permit # M - VU 100 (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.1 l ) <br />V"' <br />Permit # M _ 197 100 (provide for Amendments and Conversions of existing permits) 1q4\Q0 <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits AS, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies ofExhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder; maps should be folded to <br />8 1/2" X 11" or 8 1/2" X 14" size. To expedite 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, A" Information requested below. <br />OZ -1I. Apolleset/operator or company <br />name (name to be used on permit): Las Animas County <br />1.1 Type of organization (corporation, partnership, etc.): County Gov't <br />2. Operation name (ult. mine or site name): Branson Gravel Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fen: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 ,Ebnversion to 112 operation (set by statute) <br />5./ Primary commoditie(s) to be mined: road base <br />5.1 Incidental eommoditie(s) to be mined. I.none l�o�vr <br />�kct5e vfaC55 d5 <br />15.49 permitted acres <br />24,41 acres <br />39.9 acres <br />52.696.00 application fee <br />53.342,00 quarry application <br />$2,229.00 amendment fee <br />52.696.00 conversion fee <br />rip rap <br />3. / lbs/Pongyr 4. / lW7bns/vr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: maintenance and repair of County roads <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: maintenance and repair of Couty Rd ROW <br />