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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> RECEIVED <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 FEB 0 4 2008 oc O L O o N of <br /> Phone:(303)866-3567 <br /> FAX:(303)832-8106 CONSTRUCTION MATERIALS Division of Reclamation. RECLAMATION <br /> M 11J 1 NG <br /> REGULAR(112)OPERATION Mining and%W <br /> RECLAMATION PERMIT APPLICATION FORM SAFETY <br /> Bill Ritter,Ir. <br /> Governor <br /> CHECK ONE: There is a File Number Already Assigned to this Operation Harris D.Sherman <br /> Executive Director <br /> Permit# M -_,g,k)Q.$_-O�4 (Please reference the file number currently assigned to this operatigatald w cauar,Y <br /> X New Application(Rule 1.4.5) Amendment Application(Rule 1.10) Division Director <br /> Natural Resource Trustee <br /> Conversion Application(Rule 1.11) <br /> Permit# M - - (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 application <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 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,ALL information requested below. <br /> 1. Applicant/operator or company name(name to be used on permits: Connell Resources, Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): SerFer Pit <br /> 3. Permitted acreage(new or existing site): 45 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 45 acres <br /> 4. Fees: <br /> 4.1 New Application $2.696.00 application fee <br /> 4.2 New Quarry Application $3,342.00 quarry application <br /> 4.4 Amendment Fee $2.229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2,696.00 conversion fee <br /> 5. Primary commoditle(si to be mined: Sand Gravel <br /> 5.1 Incidental commioditie(s)to be mined: 1. - lbs/Tons/Yr 2. / lbs/Tons/yr <br /> 3. / lbs/Tons/yr 4. / lbs/Tons/vr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary conunoditie(s)to be mined: Construction materials <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: n/a <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />