2018-03-23_PERMIT FILE - M2017013 (8)

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STATE OF COLORADO DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED Department of Natural Resources 1313 Sherman St.,Room 215 Denver,Colorado 80203 MAR 1019 COLORADO Phone:(303)866-3567 D1VISIoN of RECLAMATION FAX:(303)832-8106 DIVISION OF RECLAMATION MINING MINING AND SAFETY SAFETY CONSTRUCTION MATERIALS JLE WHE M-2017-013 SPECIAL(111)OPERATION RECLAMATION PERMIT APPLICATION FORM The application fora Construction Materials Special 1 l l Operation Reclamation Permit contains four mator pars:(1)the application form; (2)Exhibits A-L,Addendum 1.and any sections of Exhibit 6.5(Geotechnical Stability Exhibit),as required by the Office,and outlined in Rules 6.1,6.2,6.3,6 5,and 1.6.2(1)(b). (3)the application fee;(4)the Performance Warranty and if required a Financial Warranty.When you submit your application,be sure to incl ade one 111 completed,signed and notarized ORIGINAL and one t H copy of the completed application form,two(2) copies of Exhibits A-L,Addendum 1,appropriate sections of Exhibit 6.5 (Geotechnical Stability'Exhibit),as required,a check for the application fee descnbed under(4)below,and the fully executed Performance Warranty and Financial Warranty,if required. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2" X 11"or 8 2" X 14" size. To expedite processing,please provide the information in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly,in the space provided,all information described below 1. Applicant/operator or company name(name to be used on the permit): Todd Creek Village Metropolitan District 1.1 Type of organization(corporation,partnership,etc.): Special District-Title 32,Article 1 2. Operation name(pit,mine or site name): Signal Reservoir No. 1 Expansion 3. Permitted acreage: 30 Permitted Acres 4. New Application: $848.00 Application Fee 5. Primary commoditie(s)to be mined: Inert fill-will not be sold commercially 6. Name of owner to the surface of affected land: Todd Creek Village Metropolitan District 7. Name of owner to the subsurface rights of affected land: Todd Creek Village Metropolitan District 8. Type of mining operation: Surface Q Underground J1 In-situ 9. Location information: The center of the area where the majority of mining will occur: CO a . Adams PRINCIPAL MERIDIAN(check one): CI 6th(Colorado) _____ 10th(New Mexico) Ute SECTION(write number): S 4 ✓ TOWNSHIP(write number and check direction): T 1 North South RANGE(write number and check direction): R 67 _ East West QUARTER SECTION(check one): NE '' NW SESW E QUARTER/QUARTER SECTION(check one): ✓ NE NW — SESW GENERAL DESCRIPTION:(the number of miles an irection from the nearest town and the approximate elevation): 4 miles west of Brighton. CO on the south side of 168th Avenue. elevation = 5.150 ft AMS Office of Office of Mined Land Reclamation Denver • Grand)unction • Durango Active and Inactive Mines