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STATE OF CULUKADU <br /> DIVISION OF RECLAMATION,MINIM' ""^" <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 M2019- 046 <br /> Denver,Colorado 80203 COLOR-ADO <br /> Phone:(303)866-3567 JPL\mac D I VISION o F <br /> FAX:(303)832 8106 RECLAMATION <br /> HARD ROCK/METALMINLNG -7 rngl � MINING <br /> REGULAR OPERATION(112) SAFETY <br /> RECLAMATION PERMIT APPLICATION FORM RESEW <br /> CHECK ONE: There is a File Number Already Assigned to this Operation 1 � <br /> New Application(Rule 1.4.5) ® Amendment Application(Rule 1.10) ftteLWAYN <br /> Conversion Application(Rule 1.11) 1&.140 MD <br /> Permit#M- - - (provide for amendments and conversions of existing permits) <br /> The application for a Regular Operation Reclamation Permit contains three major parts: (1)the application form;(2)Exhibits A-S, <br /> Geotechnical Stability Exhibit and Addendum 1;and,(3)the application fee. When you submit your application,be sure to include <br /> one(1)completed,signed and notarized gray original and one(1)copy of the completed application form,two(2)copies of Exhibits <br /> A-S, the Geotechnical Stability Exhibit, and Addendum 1, and a check for the application fee described under Section 4 below. <br /> Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite <br /> 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 described below. <br /> 1. Applicant/operator name: Southway Construction Company, Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit, mine or site name): Bradford Mesa Quarry <br /> 3. Permitted acreage(new or existing site): 1107.6 permitted acres <br /> 3A Change in acreage(+ or-) NSA acres <br /> 3.2 Total acreage in Permit area 1107.6 acres <br /> 4. Fees: <br /> 4.1 New Application $2,156.00 application fee <br /> 4.2 New Quarry Application $2,674.00 quarry application <br /> 4.3 Milling Application(Non-DMO) $3,565.00 milling application <br /> 4.4 Amendment Fee $1,783.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $1,725.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: basalt and gravel <br /> 6. Name of owner of surface of affected land: Edmundson Ranches, LLC; Colorado State Land Board <br /> 7. Name of owner of subsurface rights of affected land: Edmundson Ranches, LLC; Colorado State Land Board <br /> If 2 or more owners,refer to Exhibit O. <br /> 8. Type of mining operation: X Surface Underground In-situ <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines <br />