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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver. Colorado 90203 <br />Phone: (303) 869-3597 <br />FAX; (303) 832-8KECEI IED <br />AUG 2 8 2017 <br />STATE OF COLORADO <br />CONSTRUCTION MATERIALS <br />COLORADO <br />DIV] S I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />DIVISION Of RECLAMATION LIMI'MD IMPACT (110) OPERATION <br />MINING AHO SAFETY M-1982-200 <br />RECLAMATION PERMIT APPLICATION FORM AnHQI <br />✓COMPLIED! <br />CHECK ONE: There is a File Number Already Assigned to this Operation ✓0 Violations <br />Permit fl NJ 9fi 2% -7- (Please referera" the file number currently assignee . - ERR,AaWHE <br />New Application (Rule 1.4,5) Amendment Application (Rule 1.10) <br />Convemian Armlication (Rule 1 11) <br />Permit # bI - 1982 200 - (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 Exhibit 6,5 and Geotechnical Stability Exhibit, as required by <br />the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and I.6.2(1)(b); and (3) the application fee. When you submit your application, be sure <br />M =b id Vii. (1) ' t-•• t '-c Ri^■ * L hitt! one. (i} copy rrf �� S.vngyr.tc r aNF1X%'4us V" :want, tiro (2} wvlva of <br />Exhibits A -J, 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 8112" X l 1" or 8 <br />112" 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,W print. nla 1 J7 in the gpa= i^ virlwrt A r r infer limn Ai rihdvl hptnm <br />1. AnplicantlopeWgror company name (name to be used on Permit)- Colorado Quarries, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Red Jasper Granite <br />3.1 Change in acreage (+) <br />3.2 Total Acreage in Penniit Area <br />4. Fees; <br />4.1 New Application: <br />Amendment Fee (C.R.S. 34-32.5-125(11)): <br />S. Primary comnmditie(s) to be mined- Granite <br />A A <br />-r-" peruutted acres <br />$.8 acnes <br />9.8 acres <br />$1218.00 application fee <br />—SB27.00 application fee <br />5.1 Incidental commoditie(s) to be mined; 1. I 2. 3. _ / 1bsfCons/y� <br />4. 1 lbs/Tou&/vr 5./ lbs/ Toob(M <br />✓.2 f91�tt:liJutrY ►11U iida: vf�.iwict j 4vSsti�iditi d) to II'i c.: aggregate <br />Anticipated end use of incidental commodities) to be mined: <br />