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McENDAFFER MINE 112 RECLAMATION PERMIT APPLICATION <br /> Exhibit R - Proof of Filing with County Cierk ana itecorac. <br /> Received from Svzvgv Enterprises LLC on <br /> June 20th,2016 the revised 112 conversion <br /> application for display. <br /> Weld County Clerk and Recorder <br /> �W�' -% <br /> CARLY KOPPES <br /> WELD COUNTY CLERK & RECORDER <br /> 1402 NORTH 17TH AVENUE STATE OF Cn <br /> P E 80X 4 O O�� ^ jl� <br /> GREELEY. COLORADO 80639 L"tj-�jj�� <br /> DMSION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St,Room 215 <br /> Denver,Colorado 80203 I s 1 o N <br /> yO <br /> LDRAI <br /> Phone:(303)866 3567 <br /> FAX:(303)832-8106 MINING <br /> —St— <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE.P— There is a Fne Number Already Assigned to this Operation <br /> Permit# M ;�s}I-Q_-3t f(please reference the fle number currently assigned to this operation) <br /> New Application(Rule 1.4.5) Amendment Application(Rule I A 0) <br /> Conversion Application(Rule 1.11) <br /> Permit# M - Q}0—_p�#(provide for Amendments and Conversions of existing permits) <br /> The application for a Constriction Materials Regular 112 Operation Reclamation Permit contains three major parts:(1)the applicat <br /> form;(2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Geotechnic al Stability Exhibit,and(3)the application fee. When} <br /> submit your application,be sure to include one (1) complete sieved and notarized ORIGINAL and one(1) copy of the comple <br /> application form two(2)copies ofExtubits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check <br /> the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder,maps should be folded <br /> 8 1/2"X 11"or 81/2"X 14"size. To expedite processing,please provide the information in the format and order described in this for <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,ALL information requested below. <br /> 1. Annlicant/onerator or company name(name to be used on permit): v 2 V Q V rn fer_prl s jE s <br /> 1.1 Type of organization(corporation,partnership,etc.): 4 1- C <br /> 2. Operation name(pit mine or site name): mfr h do <br /> 3. Permitted acreage(new or existing site): 9 g pelMitted acre <br /> 3.1 Change in acreage(+) 1. Q T' acres - <br />