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1. nf <br /> B ' K i ntm Count.'-1 ":cIftm I sc�t <br /> Ki000 J Cnunr.4 <br /> -w STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED <br /> -Ir---1 Resources <br /> MAR 0 12021 COLORAD 7 <br /> 0 <br /> rRUCTION MATERIALS D I V I S 1 0 N 0 F <br /> RECLAMATION <br /> I <br /> M2021 -015 MAR(112)OPERATION DIVISION OF RECLAMATION MINING <br /> 1N PERMIT APPLICATION F"G AND WETY —&— <br /> AME/mac/awa I SAFETY <br /> Bill Ritter,Jr. <br /> CHECK ONE: El There is a File Number Already Assigned to this Operation Governor <br /> Harfls D.Sherman <br /> Pe M (Please reference the file number currently assigned to this operatiol ecutive Director <br /> New Application(Rule 1.4.5) Amendment Application(Rule 1.10) Ronald W.Cattany <br /> Division Director <br /> Conversion Application(Rule 1.11) Natural Resource Trustee <br /> Permit# M (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1)the application <br /> form;(2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Geotechnical Stability Exhibit;and(3)the application fee. When you <br /> submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br /> application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of6.5(Geotechnical Stability Exhibit,and a check for <br /> the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be folded to <br /> 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. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,ALL information requested below. <br /> 1. Applicant/overator or company name(name to be used on permit): Kiowa County Road & Bridge <br /> 1.1 Type of organization(corporation,partnership,etc.): <br /> 2. Operation name(pit,mine or site name): Harris Pit <br /> 3. Permitted acreage(new or existing site): 40 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 40 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. N/A lbs/Tons/ 2. lbs/Tons/vr <br /> 3.- lbs/Tons/ 4. lbs/Tons/ 5. lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Driving surface for county roads <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: N/A <br /> Office of Office of <br /> Mined Land Reclamation Denver - Grand Junction - Durango Active and Inactive Mines <br />