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STATE QF COLOMDO <br /> DIVISION OF RECLAMATION,MINING ANDSKpyp�;�{� ' <br /> Department of Natural Resources <br /> 1313 Sherman St,Room 215 f RECEIVED <br /> Denver,Colorado 80203 C O L O R A D O <br /> Phone:(303)86&3567 ]DIVISION OF <br /> FAX:(303)832-8106 /V\ 70 k -D 1 -7 MAR 0 2 2011 RECLAMATION <br /> RECF—tV60 GPAWJUNCTION FIELD OFFIM MINING <br /> OMMOY OF SAFETY <br /> RECAIIA17OlV MINING d <br /> MAR 08 2 0 1 1 CONSTRUCTION AIATERIALS S' ' <br /> Bill River,Jr. <br /> DMVI-iJn of ReclamatiM LIMITED FYIPACT(110)OPERATION Governor <br /> E ;n:r3 a,,d Safety BarrisD.Sherman <br /> RECLAMATION PERMIT APPLICATION FOPUM Executive Direcior <br /> Ronald W.Cmany <br /> Division Director <br /> CHECK ONE: There is a File Number Already Assigned to this Operation Natural Res0urre Twee <br /> Permit# M -�0//-O/ _ (Please reference the a umber currently assigned to this operation) <br /> X New Application(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) <br /> Permit# M - - - (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Limited Impact(110)Operation Reclamation Permit contains three major parts: (1)the <br /> application form;(2)Exhibits A J,Exhibit L,Addendum 1,any sections of Exh bit 6.5 and Geotechnical Stability Exhibit,as required <br /> by the Office,and outlined in Rules 6.1,6.2,6.3,6.5,and 1.6.2(1)(b);and(3)the application fee. When you submit your application,be <br /> sure to include one(1)complete signed and notarized ORIGINAL and one(1)Copy of the completed application form,two(2)copies <br /> -if Exhibits A-J,Exhibit L,Addendum 1,and appropriate sections of 6.5(Geotechnical Stability Exhibit),as required,and a check for <br /> -ae application fee described under(4)below. Exhibits should ITOT be bound or in a 3-ring binder;maps should be folded to 8 1/2"X <br /> 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 described below. <br /> 1. Applicant/operator or contnany mane(name to be used on tseamit): _g r P P B <br /> 1.1 Type of organization(corporation,partnership,etc,): Colorado Corporation <br /> 2. OQeration name(ft none or site name): F r en t r e s s Gravel P i t <br /> 3. Permitted acreage(new or 111jft site): 9 .9 permitted acres <br /> 3.1 Change in acreage(+) 0 acres <br /> 3.2 Total Acreage in Permit Area 9. 9 acres <br /> 4. Fees: <br /> 4.1 New Application 150.00 application fee <br /> Amendment Fee(C.R.S.34-32.5-125(11))-. $827.00 application fee <br /> 4.2 Conversion Fee(from 110d to 110 S2,696,00 conversion fee(Rule 1.112(2)) <br /> 5. teary commodities)to be mined: sand _ a r a ve 1 <br /> 5.1 Incidental commoditie(s)to be mined: 1. 0 / lbs/Tons/vr 2. / 1bsR ons/vr 3. / Ibs/To a/yr <br /> 4. / lbs/Tons/vr 5._ / 1bs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Construction materials <br /> Anticipated end use of incidental commoditie(s)to be rained <br /> Off of <br /> Agreed Land Reclarnadon DMWAr 0 r.MnA 6.n.+:n.. . n... �i0e of <br />