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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY t <br /> Department of Natural Resources REV71VED <br /> 1313 Sherman St,Room 215 <br /> Denver,Colorado 80203 C O L O RA D O <br /> D I V I S I O N O F <br /> Phone (303)866-3567 NOV 2 3 2016 RECLAMATION <br /> FAX (303)832-8106 MINING <br /> DIVISION OF RECLAMATION SAFETY <br /> MINING AND SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:lam— -There is a File Number Already Assigned to this Operation <br /> Permit; M-2016-080 (Please reference the file number currently assigned to this operation) <br /> ELNew Application(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> D_Conversion Application(Rule 1.1 1) <br /> Permit 4 `1 - - (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 I,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,th\o(2)copies of Exhibits A-S,Addendum 1,appropriate sections of6.5(Geotechnical Stability Exhibit,and a check for <br /> the application fee described under Section (4) belo\� Exhibits should NOT be bound or in a 3-ring binder;maps should be folded to <br /> 8 1/2" X 1 1"or 8 1 i2"X 14"size To expedite procc,sing,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 companv name(name to be used on permit): Brannan Sand and Gravel Company, LLC <br /> 1.1 Type of organization 1 corporation,partnership,etc.): LLC <br /> 2 Operation name(pit,mine or site name)- Trout Valley Ranch <br /> 3 Permitted acreage(new or existing site): 472.3 permitted acres <br /> 3.1 Change in acreage 1 ) acres <br /> 3.2 Total acreage in Permit area 472.3 acres <br /> 4. Fees <br /> 4 1 New Application �$2,,6_96 00 applicaat_ionnffee_ <br /> 42 Ne« Quarr Application $3.3�?-6iT- quarry appltcatton <br /> 4.4 Amendment Fee $2,229.00 amendnInt fee <br /> 4.5 Conversion to 112 operation(set by statute) $2,696.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: Sand gravel <br /> 5 1 Incidental commoditie(s)to be mined- 1. gold 301bslyrlbs/"Cons/vr 2 / Ibs/Tons/yr <br /> Ibs/Tons/vr 4. Ibs/Ton0,r 5. / Ibs/Ton yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be alined: construction materials <br /> 5.3 Anticipated end use of incidental comnioditie(s)to be mined: <br />