2017-02-15_PERMIT FILE - M2017004

• Permit No: M2017004
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/15/2017
• Doc Name: Application
• From: Oldcastle SW Group, dba Four Corners Materials
• To: DRMS
• Email Name: THM
• Email Name: GRM
• Media Type: D
• Archive: No

-2-
10. Primary Mine Entrance Location(report in either Latitude/Longitude OR UTM):
Latitude/Lon igitude:
Example: (N) 39' 44' 12.98"
(W) 104° 59' 3.87"
Latitude(N): deg 37 min 40 sec 50 63 (2 decimal places)
Longitude(W): deg 106 min 31 sec 26 38 (2 decimal places)
OR
Example: (N) 39.736910
(W) -104.98449°
Latitude(N) (5 decimal places)
Longitude(W) (5 decimal places)
OR
Universal Tranverse Mercator(UTM)
Example: 201336.3 E NAD27 Zone 13
4398351.2 N
UTM Datum(specify NAD27,NAD83 or WGS 84) Nad 83 Zone 12
Easting
Northing
11. Primary Future(Post-mining)Land Use(check only one):
® Cropland(CR) ® Pastureland(PL) General Agriculture(GA)
El Rangeland(RL) 0 Forestry(FR) Wildlife Habitat(WL)
® Residential(RS) Recreation(RC) ® Industrial/Commercial(IC)
Developed Water Resources(WR) © Solid Waste Disposal(WD)
12. Primary Present Land Use(check only one):
11 Cropland(CR) 0 Pastureland(PL) ® General Agriculture(GA)
El Rangeland(RL) © Forestry(FR) Wildlife Habitat(WL)
0 Residential(RS) Recreation(RC) Industrial/Commercial(IC)
Developed Water Resources(WR) © Mining(MN)
13. Estimated Be¢inning Date of Contract: 03/13/2017
13.1 Estimated completion date of contract: 08/31/2017