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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Roam 215 TC1 WHE <br />Denver, Colorado 80203 COLO RAD O <br />Phone: (303) 888-3587 M^1 978-051 CN01 RECEIVED R v i s i o H a F <br />FAX (303) 832-8108 RECLAMATION <br />d Annual Fee/Report: CW MINING <br />No Violations SEP 13 2017 SAFETY <br />CONSTRUCTION MATERIALS DMSION OF RECLAMATION <br />REGULAR (112) OPERATION MINING AND SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: F1 There is a File Number Already Assigned to this Operation <br />Permit # M'19 78 051 (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 1.11) <br />Permit # M '1978 054 -{provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed_and_notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder, maps should be folded to <br />8 112" X 11" or 8 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 requested below. <br />1. Applicant/operator <br />or company name (name to be used on permit): Lincoln County <br />1.1 <br />Type of organization (corporation, partnership, etc.): Government <br />2. Operation <br />name (nit, mine or site name): Gaede Pit <br />3. Permitted acreaee (new or existine site): <br />9.9 <br />permitted acres <br />3.1 <br />Change in acreage (+) <br />30 <br />acres <br />3.2 <br />Total acreage in Permit area <br />39.9 <br />acres <br />4. Fees: <br />4.1 <br />New Application <br />$2.696.00 _ <br />application fee <br />4.2 <br />New Quarry Application <br />$3,342.40 <br />quarry application <br />4.4 <br />Amendment Fee <br />_$2,229,00 <br />amendment fee <br />4.5 <br />Conversion to 112 operation (set by statute) <br />$2.696.00 <br />conversion fee <br />5. Primary commodities) to be mined: Sand Gravel <br />5.1 <br />Incidental commoditie(s) to be mined: 1. - Ibs/Tonslyr 2. <br />_ _ 1 <br />lbs/Tons/yr <br />3. _ / lbs/Tons/v4. 1 lbs/Tons/yr 5.. <br />/ <br />_lbs/Tons/yr <br />5.2 <br />Anticipated end use of primary commoditie(s) to be mined: December, 2038 <br />5.3 <br />Anticipated end use of incidental commoditie(s) to be mined: <br />