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"ATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING ANr" 1 <br /> Department of Natural Resources G/ <br /> 1313 Sherman St.,Rory- RECEIVED <br /> Denver,Colorw'- C O L O R A D O <br /> P 0 I V 1 $ION OF <br /> PtlmFAX: 9$,10 RECLAMATION <br /> O <br /> JUL 162018 MINING <br /> MV`, L eI IX t�On- SAFETY <br /> GpM P�Ov v�o DIVISION OF RECLAMATION <br /> Owe e� CONSTRUCTION MATERL-kLMININGAND SAFETY <br /> Pstl m REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:0__ There is a File Number Alreach Assigned to this Operation <br /> Perurit# Mtn- 103 <br /> (Please reference the file mmiber currently assigned to this operation) <br /> New Application(Rule 1.4.5) 0—Amendment Application(Rule 1.10) <br /> ✓ cation(Rule 1.11) <br /> P t# M - 1-998 t03 (provide for Amendments and Conversions of existing permits) <br /> The application aterials Regular 112 Operation Reclamation Permit contains three major parts:(1)the application <br /> form:(2)Exhibits AS,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 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 /> 1. Applicant/operator or compare name(name to be used on permit): Town of Limon <br /> 1.1 Type of organization(corporation,partnership,etc.): Government <br /> 2. Operation name(pit,mine or site name): Patty's Pit <br /> 3. Permitted acreage(new or existing site): 9•84 permitted acres <br /> 3.1 Change in acreage(+) +87.67 acres <br /> 3.2 Total acreage in Permit area +-97.51 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) X $2.696.00 conversion fee <br /> 5. Primary commodities)to be mined: Sand Gravel Base <br /> 5.1 Incidental coumuoditie(s)to be mined: 1. NA - lbs/Tons/vr 2. / Ibs/Tons/yr <br /> 3. / lbs/Tgps(M 4. I lbs/Tons/w 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commodities)to be mined: City Projects, Construction/Maintenance <br /> 5.3 Anticipated end use of incidental commodities)to be mined: NA <br /> 7 <br />