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gTATE OF COLORADO <br /> ECS WHE Edel <br /> DIVISION OF RECLAMA M-2008-017 AMO1 �r <br /> Department of Natural Resow J Annual Fee/Report: CW <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 <br /> 'Co L O RA D <br /> 0 <br /> Phone:(303)866-3567 Violations: .f1OtA DIV15ION OF`C 211'2 eALI RECLAMATION <br /> FAX:(303)832-8106 MV2017061 11/3/2017 PR 12/13/2017� N,OF vnMINING <br /> MV2008011 10/15/2008 RE 12/16/20081NGAND <br /> MV2016022 <br /> 3/15/2016 AB 03/29/2016 SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE: ✓ There is a File Number Already Assigned to this Operation <br /> Permit# M - - (Please reference the file number currently assigned to this operation) <br /> 17 New Application(Rule 1.4.5) gi Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) <br /> Permit# M 2008 Q17 - (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 1/2"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 or company name(name to be used on permit): Broken Arrow Investments, LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): Limited Liability Company <br /> 2. Operation name(pit,mine or site name): Derr Pit <br /> 3. Permitted acreage(new or existing site): 39.19 permitted acres <br /> 3.1 Change in acreage(+) 105.86 acres <br /> 3.2 Total acreage in Permit area 145.05 acres <br /> 4. Fees: <br /> 4.1 New Application $2,696.00 application fee <br /> 4.2 New Quarry Application $3,342.00 quarry application <br /> 4.4 Amendment Fee $2,229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2,696.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: Sand Gravel <br /> 5.1 Incidental commoditie(s)to be mined: 1. - lbs/Tons/yr 2. / lbs/Tons/yr <br /> 3. / lbs/Tons/yr 4. / lbs/Tons/yr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Construction Aggregates <br /> N/A <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: <br />