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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado 80203 C I LAN <br /> R A D O <br /> DIVION O F <br /> Phone:(303)866-3567AM01 RECLATION <br /> FAX:(303)832-8106 M N G <br /> —�t— <br /> AMEmac SAFETY <br /> CONSTRUCTION MATERIALSR111111"40cimly <br /> REGULAR(112)OPERATION RECLAMATION PERMIT APPLICATION FORM OCT <br /> 22 2018 <br /> CHECK ONE: ✓❑ There is a File Number Already Assigned to this Operation DM&'ON OF REcu1MrION <br /> ALINING AND SAPS <br /> Permit# M - - (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 1.11) w <br /> K O <br /> 2008 Q78 3 IV <br /> Permit# M - (provide for Amendments and Conversions of existing permits) o O <br /> e� O <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1)the application a CO <br /> form;(2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Geotechnical Stability Exhibit;and(3)the application fee. When yoti <br /> submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the cornpletec : -4 <br /> application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check foi In c0 <br /> the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be folded tc <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 /> Aggregate O <br /> l. Applicant/operator or company name(name to be used on permit): Prowers , LLC <br /> Operators, < <br /> 1.1 Type of organization(corporation,partnership,etc.): Limited Liability Corporation T m I3 <br /> 2. Operation name(nit,mine or site name): <br /> West Farm Pit 0 <br /> 3. Permitted acreaze(new or existiniz site): 233.4 pennitted acres <br /> + <br /> �.1 Change In acreage( ) 41.2 acres <br /> 3.2 Total acreage in Permit area 274.6 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. - Ibs/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 /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: N/A <br />