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STATE OF COLORADO <br /> DNISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman SL,Room 215 <br /> Denver.Colorado 80203 COL RA D <br /> DIVISION OF <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX-(303)8M-8106 MINING <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> LIMITED IMPACT(110)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE: There is a File Number Already Assigned to this Operation <br /> Permit# M - - — (Please reference the file number currently assigned to this operation) <br /> ✓ New Application(Rule I A.5) Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) <br /> Permit# M - - - (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Limited Impact(110) Operation Reclamation Permit contains three major parts: (1)the <br /> application form;(2)Exhibits A-J,Exhibit L,Addendum 1,any sections of Exhibit 6.5 and Geotechnical Stability Exhibit,as required by <br /> the Office,and outlined in Rules 6.1,6.2,6.3,6.5,and 1.6.2(I)(b);and(3)the application fee. When you submit your application,be sure <br /> to include one(1)complete signed and notarized ORIGINAL and one(1)copy of the completed application form,two(2)copies of <br /> Exhibits A J,Exhibit L,Addendum 1,and appropriate sections of 6.5(Geotechnical Stability Exhibit),as required,and a check for the <br /> application fee described under(4)below. Exhibits should NOT be bound or in a 3-ring binder,maps should be folded to 8 12"X l l"or 8 <br /> 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 described below. <br /> 1- Appliicast/oaerator or company name(name to be used on permit): Randy Snare/Snare construction, Inc <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit:mine or site sun): Snare Construction, Inc and Materials <br /> 3. Permitted acrea¢e(new or existinu site): 9.9 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total Acreage in Permit Area 9.9 acres <br /> 4. : <br /> 4.1 New Application: 12$ 58.00 application fee <br /> Amendment Fee(C.R.S.34-32.5-125(11)): $827.00 application fee <br /> 5. Primary commoditie(s)to be mined: road base gravel fill dirt <br /> 5.1 Incidental commodities)to be mined: 1. /50 lbs/Tons/yr 2. / 10 lbs/Tons/yr 3. /1 0 lbs/Tons/yr <br /> 4. / lbsft'ons/vr S. / 1bs/Tons/vr <br /> 5.2 Anticipated end use of primary commodities)to be mined: road base <br /> Anticipated end use of incidental commodities)to be mined: fill dirt <br />