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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Departrnerlt of Natural Resources <br /> 1313 Sherman St..Room 215 C O L O R A D O <br /> Denver,Colorado 80203 DIVISION OF <br /> Phone:(303)866 3587 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE: There is a File Number Already Assigned to this Operation <br /> P it# M - - _ (Please reference the file number currently assigned to this operation) <br /> ✓ New Application(Rule 1.4.5) 0—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 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 simied and notarized ORIGINAL and one (1) copy of the completed <br /> application form,two(2)copies of Exhibits A-S,Addendum 1.appropriate sections of 6.5(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 l/2" X I I"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,Ae information requested below. <br /> 1. Applicant/operator or company name(name to be used on permit): Young Ranch Resource, LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): company <br /> 2. Operation name(Dit:mine or site uamel: Young Ranch Resource Quarry <br /> 3. Permitted acreage(new or existing site): 469.7 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 469.7 acres <br /> 4. f=: <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 <br /> amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) 52.696.00 conversion fee <br /> 5. Primary commodi W31 to be mined: <br /> gneiss gravel <br /> 5.1 Incidental commoditie(s)to be mined: I. gold _ XX lbs/Tons/vr 2. N/A / Ibsaons/vr <br /> 3. N/A / Ibs✓Tons/vr 4. N/A / Ibs/Tons/vr 5. N/A / Ibs/Tons� <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: <br /> construction materials <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: <br /> gold <br />