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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 <br />At <br />Denver, Colorado 80203 <br />DMC GRM <br />CO LOIL-ADO <br />Phone (303) 8b5.3567 <br />M-2017-014 <br />DIVISION O F <br />RECLAMATION <br />FAX: (303) 832-8106 <br />MINING <br />— <br />SAFETY <br />CONSTRUCTION MATERIALS <br />RECEIVED <br />SPECIAL (I 11) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />APR 13 2017 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />The application fora Construction Materials Special 1 I 1 Operation Reclamation Permit contains four major parts: (1) the application form; <br />(2) Exhibits A -L, Addendum 1, and any sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(l )(b); (3) the application fee; (4) the Performance Warranty and if required a Financial Warranty. When <br />you submit your application, be sure to include one (1) completed,_ signed and notarized ORIGINAL and one (1) copy ofthe completed <br />application form, two (2) copies of Exhibits A -L, Addendum 1, appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as <br />required, a check for the application fee described under (4) below, and the fully executed Performance Warranty and Financial Warranty, if <br />required. Exhibits should NOT be bound or in 3 -ring binders; maps should be folded to 8 2" X I I" or 8 2" X 14" size. To expedite <br />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 company name (name to be used on the permit): <br />Oldcastle SW Group, Inc. dba United Companies <br />Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): Cottonwood Pass Pit <br />3. Permitted acreage: <br />4. New AoDlication: <br />5. Primary commodities) to be mined: Sand and gravel <br />6. Name of owner to the surface of affected land: <br />United States Forest Service <br />7. Name of owner to the subsurface rights of affected land: United States Forest Service <br />8. Type of mining operation: Surface a Underground In-situ <br />12.5 Permitted Acres <br />$898.00 Application Fee <br />9. Location information: The center of the area where the majority of mining will occur: <br />CO Gunnison <br />PRINCIPAL MERIDIAN (check one): `� 6th (Colorado) 10th (New Mexico) D. Ute <br />SECTION (write number): S 10 <br />TOWNSHIP (write number and check direction): T 14 North ✓ South <br />RANGE (write number and check direction): R 82 East ✓ West <br />QUARTER SECTION (check one):NE NW SE41 SW <br />QUARTER/QUARTER SECTION (check one): NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles an trection from the nearest town and the approximate elevation): <br />Located 6.9 miles northwest of Tincup CO at approx. 9490' <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />