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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313ShenmanSt„Rcom215 <br /> Denver,Coloodo80203 M2020- 002C%1 <br /> ORAD®D I1SS1t00 N 0IF <br /> Phone: (303)86&3567 RECLAMAI"ION <br /> FAX: (303)832*8106 MINING <br /> ' <br /> DC 1/j le S+�1 <br /> CONSTRUCTION MATERIALS RECEI F-D <br /> SPECIAL (111) OPERATION Y <br /> RECLAMATION PERMIT APPLICATION FORM JAN 0 9 ZOZO <br /> D SION OF R CLAMATION <br /> MINING&SAFETY <br /> The application for a Construction Materials Special I I I Operation Reclamation Permit contains four major parts: (1)the application form; <br /> (2) Exhibits A-L, Addendum 1, and any sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as required by the Office, and outlined in <br /> Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2( 1 )(b); (3) the application fee; (4) the Performance Warranty and if required a Financial Warranty. When <br /> you submit your application, be sure to include one (1) completed, signed and notarized ORIGINAL and one (I ) copy of the completed <br /> application form, two (2) copies of Exhibits A-L, Addendum 1, appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as <br /> required, a check for the application fee described under(4)below, and the fully executed Performance Warranty and Financial Warranty, if <br /> required. Exhibits should NOT be bound or in 3-ring binders; maps should be folded to 8 2" X 1 I" or 8 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. Apli icant/onerator or company name(name to be used on the lR rmi l: <br /> Fremont Paving and Redi-Mix, Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit.mine or site name): Horse Creek Pit <br /> 1. Permitted Acres: 2. 30.0 Permitted Acres <br /> 3. New Application: S898.00 Application Fee <br /> 4. Primary commoditie(s)to he mined: sand and gravel <br /> 5. Name of owner to the surface of affected land: Colorado State Land Board <br /> 6. Name of owner to the subsurface riehts of affected lard Colorado State Land Board <br /> S. Tyne of min ine operation: E✓ Surface E� Underground F-1 In-situ <br /> 9. Location information: The center of the area where the majority of mining will occur: <br /> PRINCIPAL MERIDIAN(check one): ✓ in olorado) I th ( ew Mexico) to <br /> SECTION (write number): S 12 <br /> TOWNSHIP (write number and check direction) : T 15 North South <br /> RANGE(write number and check direction): R 5 East ✓ West <br /> QUARTER SECTION (check one): 0 NW ✓ SE SW <br /> QUARTER/QUARTER SECTION(check one): NE RNW ✓ SE SW <br /> GENERAL DESCRIPTION': (the number of miles and direction from the nearest town and the approximate elevation): <br /> 35 miles south of Limon CO at an elevation of 5060 feet. <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand junction• Durango Active and Inactive Mines <br />