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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources� R ^r 4, ff -D 1313 Sherman St,Room 215 Ctt <br /> Denver,Colorado80203 SEN of DI <br /> Ph L <br /> Phone (303)868.3567 JL u1P RECL <br /> FAX (303)832-8106 M I <br /> DMSION ATION SA- <br /> MINING <br /> - <br /> AND SAFETY <br /> CONSTRUCTION MATERIALS <br /> LIMITED IMPACT(1 I0)OPERATION <br /> argil( Feeders, Inc. RECLAMATION PERMIT APPLICATION FORM <br /> CHECK N : There Is a File Number Already Assigned to this Operation M 2 0 1 6- <br /> 2of6 oyp <br /> Permit# M - - (Please reference the file number currently assigned to this operation) <br /> ✓ New Application(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.1 I) <br /> Permit 4 hl - - - (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Nlaterials Limited Impact(110)Operation Reclamation Permit contains three major parts: (1)the <br /> application form;(2)Exhibits A-J,Exhibit L,Addendum I,any sections of Exhibit 6.5 and GeotechnicaI Stability Exhibit,as required by <br /> the Office,and outlined in Rules 6.1,6 2,6.3,6.5,and 1.6 2(i)(b);and(3)the application fee. When you submit your application,be sure <br /> to include one(1)complete sip <br /> ned and notarized ORIGINAL and one(1)copy of the completed application form,two(2)copies of <br /> Exhibits A-1,Exhibit L,Addendum 1,and appropriate sections of 6.5(Geotechnical Stability Exhibit),as required,and a check for the <br /> application fee described under(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be folded to 8 1 2"X 1 t"br 8 <br /> 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. Analicnntionerator or company name(name to be used on permit): Cargill, Inc- <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name it mine or site name): Cargill Cattle Feeders,LLC. <br /> 3. Permitted acrease(new or existine site): 100 permitted acres <br /> 3.1 Change in acreage(+) n/a acres <br /> 3.2 Total Acreage in Permit Area 100 acres <br /> 4. Fees: <br /> 4.1 New Application: $1258.00 application fee <br /> Amendment Fee(C.R.S.34-32.5-125(11)): 8$ 27.00 application fee <br /> 5. Primary com diti to bemined: Clay gravel sand <br /> 5.1 Incidental commodities)to be mined: 1. n/a Ibsrrons/vr 2 / I ns/ r 3. Ibs/Tonslvr <br /> 4. Ibs/Tonsyr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commodities)to be mined: Road material and base for cattle pens. <br /> Anticipated end use of incidental commoditie(s)to be mined: n/a <br />