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C) <br /> RPM,Inc.,25049 E.Alder Dr.,Aurora,CO 80016 Phone:(303)854-7499 Email:hlhumphrics2(&,comcast.net <br /> STATE OF COLOF. D . <br /> DIVISION OF RECIAAMTION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> Denver Colorado 80203 C O L O R A D O <br /> Phone•(303)Nfi-3567 DIVISION Of <br /> RECLAMATION <br /> FAX:003)832-0106 R EC !` _ ING <br /> R S ETY <br /> CONSTRUCTION MATERIALS FEBSPECIAL(111)OPERATION EB IS ZOZZ <br /> RECLAMATION PERMIT APPLICATION F01WSION OF RECLAMATION, <br /> MINING&SAFETY-MINERALS <br /> The application for a Construction Matenals Special 11 I Operation Reclamation Pernvt contains four majorparts:(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(])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 tinder(4)below,and the fully executed Performance Warranty and Financial Warranty,i f <br /> required. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2"X I 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 /> i Applicantloperstor or company name(name to be used on the nermid: <br /> s5A44NIlWWtfbtt1cin Inc <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): Motocrosss Rorrow Pit <br /> 3. Permitted aereame: _?A-A_Permitted Acres <br /> 4 New Application: $11".00 Application Fee <br /> 5 Primary commodide(s)to lie mined. Borrow Material <br /> 6. Name of owner to the surface of affected land: Mile 250 L LC <br /> 7 Name of owner to the er subsurface rizhts of affected land: Mile 250 LL LC <br /> min j v I <br /> 8. Type of 1p¢operation: Surface Q Underground g_.d In-shu <br /> 9 I,4wation information: The core r of the area where the majority of mining will occur: <br /> COI Weld <br /> PRINCIPAL MERIDIAN(check one): 6th(Colorado) 10th(New Mexico) 0 Ute <br /> SECTION(write number): S 22 <br /> TOWNSHIP(write number and check direction): T 4 North ® South <br /> RANGE(write number and check direction): R 68 East West <br /> QUARTER SECTION(check one): NE NW SE SW <br /> QUARTER/QUARTER SECTION(check one): NE NW SE SW <br /> GENERAL DESCRIPTION:(the number of miles an trection from the nearest town and the approximate elevation)• <br /> Th .t Town of Ruda is 9 506 mil .S and th .town of.nhnstown is 4 13 miles- elpy 4950 ft A <br /> Office of Office of <br /> Mired I.And FAClamation Denver • Grand Junction • Durango Active and Inactive Mimes <br /> 6 <br />