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MAC WHE STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources (� <br />1313 Sherman St.. Room 215 RECEIVED <br />Denver, Colorado 80203 <br />FAX (303) 83z 810867 APR 2 5 2018 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />CONSTRUCTION MATERIALS <br />REGULAR (I 12) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: ❑— There is a File Number Already Assigned to this Operation <br />COLORADO <br />D1 VI S1 ON-': F <br />RECLAMATION <br />MINING <br />SAFETY <br />Permit 9 M-2018-019 _ (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 1) <br />Permit 9 M - (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 Stabilit) Exhibit, and (3) the application fee. When you <br />submit your application, be sure to include one (I) 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 of6.5 (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 I I " 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 />I, Applicant/operator or companv name (name to be used on permit): Las Aromas County <br />1.1 Type of organization (corporation, partnership, etc.): County Gov't <br />2. OF-). eration name 0it, mine or site name): <br />3. Permitted acreaze (new or existine site): <br />Arnold Pit <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: road base rip rap <br />5.1 Incidental commoditie(s) to be mined: I. none lbs/Tons/vr <br />39 permitted acres <br />0 acres <br />39 acres <br />$2,696.00 <br />application fee <br />$3.342.00 <br />quarry application <br />$2,229.00 <br />amendment fee <br />$2.696.00 <br />conversion fee <br />2 1 Ibs/Tons/vr <br />3. / Ibs/Tons/vr 4. / lbs/Tons/yr 5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: maintenance and repair of County roads <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: maintenance and repair of Couty Rd ROW <br />