2017-04-04_PERMIT FILE - M1984156

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Form 3604-1b FORM APPROVED (August 2013) UNITED STATES OMB NO too4-0001 DEPARTMENT OF THE INTERIOR Expires August 31,2016 MINERAL MATERIAL BUREAU OF LAND FREE USE PERMIT MANAGEMENT FIELD OFFICE Permit(Case)Serial NumberCOC-045776 Expiration Date 02/27/2027 Permittee Name and Address: Grand County Road and Bridge 467 E.Topaz Granby,CO 80446 Legal land description of authorized permit area: Scholl Pit Meridian Township Range I Section Subdivision Acres 6th TIN R79W 8 N1/2 NW1/4 41.84 This permit is issued under the Act of July 31, 1947, as amended, and 43 U.S.C. 2 and 1201. Free use permits are issued subject to the requirements of 43 CFT Part 3600 now or hereafter in force. This permit is hereby issued for the materials applied for but may be canceled if it appears that this this permit was issued erroneously or the terms or conditions contained herein are not observed. The permit is subject to the fallowing standard stipulations: Any use of the surface of the lands involved in this permit must not interfere with any mining claim subject to the provisions of Section 4 of the Act of July 23,2955(30 U.S.C.612); The permittee must allow BLM access for inspections as required by 43 CFT 3601.51 The permittce must clean up all work areas and must remove or dispose of all refuse resulting from the permittee's operations, and equipment, personal property,and improvements must be removed within ninety (90) days after the permit expiration date as required by 43 CPR 3601.52 An annuul report indicating the amount(cubic yards or tons)of material removed must be filed with the BLM Field Office on the anniversary date of the permit,and within thirty(30)days after permit expiration. The permit Is also subject to the following SPECIAL CONDITIONS: Authorized purpose: Road maintenance and improvement. Authorized term Authorized quantity,in-place 10 years months days 120000 cubic yards or tons Check all that apply: ® Permittee Mining and Reclamation plan is required per 43 CFT 3601.40-44 ® Permittee is responsible for reclamation of permit area ❑ Financial Guarantee is required per 43 CFR 3602.14 ❑ Removal area is within Community Pit—Common Use Area-Serial No. 0 Permittee will perform reclamation in Community Pit—Common Use Area in lieu of reclamation fee [] Permittee must follow/comply with BLM mining and reclamation plan ❑ Permittee will pay a reclamation fee for Community Pit—Common Use Area as identified below: Quantity Reclamation_Fce TOTAL Reclamation (select aQnficable in- (select annficable In-place units)lace units) Tyne of Material P TSt m Cu.vds, ❑um 5 ner_cu.yds. S ner ton fil Sand and Gravel,Sand 120000.00 1 1 0.00 1 $0 00 Q BLM will check this box if there are additional stipulations attached to this permit. (Continued on page 2) (Form 3604-1b,page 1)