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ps( <br />STATE OF COLORAD <br />DIVISION OF RECLAMATION. MINING AND SAFE <br />Department of Natural Resources <br />1313 Sherman St.. Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />RECEIVED <br />AUG 2t 2015 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />C K4 I ECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: tv There is a File Number Already Assigned to this Operation <br />COLORADO <br />n l v l S I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Permit # M - 1,999 060 (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 1) <br />Permit # M 1-999 060 _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the appiicaurr <br />form; (2) Exhibits A -S, 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 of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and acheck for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a.5 -ring oinaer; maps snouia oc roiaca ,. <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, ALL information requested below. <br />I . Applicant/operator or company name (name to be used on permit): Las Animas Cou <br />1.1 Type of organization (corporation, partnership, etc.): County Gov't <br />2. Operation name (nit, mine or site name): <br />3. Permitted acreage (new or existing site): <br />Yocam Gravel Pit <br />I <br />Change in acreage (+) <br />3.2 <br />Total acreage in Permit area <br />4. Fees: <br />amendment fee <br />4.1 <br />New Application <br />4.2 <br />New Quarry Application <br />4.4 <br />Amendment Fee <br />4.5 <br />Conversion to 112 operation (set by statute) <br />5. Primary commodities) to be mined: road base rip rap <br />�.1 Incidental commoditie(s) to be mined: <br />3. / lbs/Tons/yr <br />1 none lbs/Tons/yr <br />9.9 permitted acres <br />57.4 acres <br />67.3 acres <br />$2,696.00 <br />application fee <br />$3,342.00 <br />quarry application <br />$2,229.00 <br />amendment fee <br />$2,696.00 <br />conversion fee <br />2. / lbs/Tons/yr <br />4. / lbs/Tons/vr 5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: maintenance and repair of County roads <br />5.3 <br />Anticipated end use of incidental commodities) to be mined: maintenance and repair of Couty Rd ROW <br />Annual Fee/Report/Map <br />No Violations <br />