2018-09-06_PERMIT FILE - M2018048

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STATE OF COLORADO DIVISION OF RECLAMATION,MIN""' "'^"""' Department of Natural Resources 1313 Sherman St.,Room 215 I Denver,Colorado80203 ��0� Q�O�FV C O L O R A D I Phone:t303)866 35b7 vv D I V I S I O N oRECLAMATIO FAX:(303)832-8106 pSh, mac MINING SAFETY CONSTRUCTION MATERIALS SPECIAL(111)OPERATION RECLAMATION PERMIT APPLICATION FORM The application for a Construction Materials Special I I I Operation Reclamation Permit contains four major parts:(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(t)(b); (3)the application fee;(4)the Performance Warranty and if required a Financial Warranty.When you submit your application,be sure to include one(1)completed,signed and notarized ORIGINAL and one(1)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 described 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): SEMA Construction, Inc. 1.1 Type of organization(corporation,partnership,etc.): Corporation 2. Operation name(pit,mine or site name): Betz Borrow Pit �} 3. Permitted acreage: Z -t 7 Permitted Acres 4. New Application: S898.00 Application Fee 5. Primary commoditie(s)to be mined: Borrow Material(Soil) 6. Name of owner to the surface of affected land: Cliff Betz 7. Name of owner to the subsurface rights of affected land: Cliff Betz 8. Type of mining operation: ID t Surface Q Underground 1 In-situ 9. Location information: The center of the area where the majority of mining will occur: COU: `� 6th(Weld PRINCIPAL MERIDIAN(check one): Colorado) 1 Oth(New Mexico) Ute SECTION(write number): S 18 TOWNSHIP(write number and check direction): T 4 North a South RANGE(write number and check direction): R 66 East ✓ West QUARTER SECTION(check one): NE NW SE SW QUARTER/QUARTER SECTION(check one): �/ NE NW SE SW GENERAL DESCRIPTION:(the number of miles an direction from the nearest town and the approximate elevation): Office of Office of Mined Land Reclamation Denver - Grand Junction - Durango Active and Inactive Mines