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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> DepaRment of Natural Resources RE C E�VE D <br /> 1313 Sherman St,Room 215 <br /> Denver,Colorado 80203 C O L O R A D O <br /> D I V[ S ! O N O F <br /> Phone (303)866-3567 APR 15 2022 RECLAMATION <br /> FAX (303)832-5106 M I N I N G <br /> DIVISION OF RECLAMATION SAFETY <br /> MINING AND 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 1.4.5) �Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.11) <br /> Permit# M �Z Z. ��� (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(1)(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, Exhibnt 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 1/2"X 11"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. ApplicanUoperator or companV name(name to be used on permit): RMS Utllltl@S, �11C. <br /> 1.1 Type of organization(corporation,partnership,etc.): RMS UtilitieS, InC. <br /> 2. Oaeration name(ait,mine or site name): Kester Pit <br /> 3. Permitted acrease(new or existing site): 8•�3 permitted acres <br /> 3.1 Change in acreage(+) � acres <br /> 3.2 Total Acreage in Permit Area 8��3 acres <br /> 4. Fees: <br /> 4.1 New Application: $1258.00 application fee <br /> Amendment Fee(CR.S.34-32.5-125(f[)): $827.00 application fee <br /> 5. Primary commoditie(s)to be mined: Gravel Sand Roadbase <br /> �.1 Incidental commoditie(s)to be mined• l. 1500 /'°"s lbs/Tons/vr �, �50o i ���s �bs/Tons/yr 3. �soo �tons lbs/Tonslvr <br /> �i. � lbs/"Tons/vr 5. � Ibs/Tons/vr <br /> �.3 lnticipated end use of primary commoditief s1 to be mined: 10 years <br /> \ntici��atc�d e:ir.i �.ise uf iilcidental cnmmoc��t���(�� ',� he mined� N//�` --- -------- — <br />