2020-06-26_REVISION - M1977321

• Permit No: M1977321
• IBM Index Class Name: Revision
• Doc Date: 6/26/2020
• Doc Name: Request for Conversion of Permit
• From: Sunnit Brick & Tile Co.
• To: DRMS
• Type & Sequence: CN1
• Email Name: JPL
• Email Name: JLE
• Email Name: AWA
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources RECEIVED
1313 Sherman St.,Room 215
Denver,Colorado 80203 C O L O R A D O
262020 pIVIS10N OF
Phone.[phone] JUN ,,�s RECLAMATION
FAX:[phone] CN01 -/�/ MINING
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JPUjh? MINING&SAF FY SAFETY
CONSTRUCTION MATERIALS
REGULAR(112)OPERATION C)
RECLAMATION PERMIT APPLICATION FORM 0
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CHECK ONE: There is a File Number Already Assigned to this Operation m
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Permit# M - - (Please reference the file number currently assigned to this operation) n
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New Application(Rule 1.4.5) Amendment Application(Rule 1.10) D
Z—Conversion Application(Rule 1.11) O
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Permit# M - 77 -321 _ (provide for Amendments and Conversions of existing permits) u
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1)the application Z
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form;(2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Geotechnical Stability Exhibit; and(3)the application fee. When you <
submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed O
application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check for C
the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be folded to i
8 1/2" X 11"or 8 1/2"X 14"size. To expedite processing,please provide the information in the format and order described in this form. �C O
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GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided,ALL information requested below.
1. Applicant/operator or company name(name to be used on permit): Summit Brick & The Co.
1.1 Type of organization(corporation,partnership,etc.): Corporation
2. Operation name(pit,mine or site name): Native/Pierre Mine
3. Permitted acreage(new or existing site): 9.9 permitted acres
3.1 Change in acreage(+) 25.33 acres
3.2 Total acreage in Permit area 35.23 acres
4. Fees:
4.1 New Application $2,696.00 application fee
4.2 New Quarry Application $3,342.00 quarry application
4.4 Amendment Fee $2,229.00 amendment fee
4.5 Conversion to 112 operation(set by statute) $2,696.00 conversion fee
5. Primary commoditie(s)to be mined: Clay Sand
5.1 Incidental commoditie(s)to be mined: 1. NONE- lbs/Tons/yr 2. / lbs/Tons/yr
3. / lbs/Tons/yr 4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s)to be mined: BriCk
5.3 Anticipated end use of incidental commoditie(s)to be mined: NONE