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STATE OF COLORAD►O <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources RE w`E'VE^ <br /> 13 Sherman St.,Room 215 I al <br /> river,Colorado 80203 C O L D PAD 0 <br /> Phone:(303)866-3567 JUL 0 5 2022 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> DIVISION OF RECLAMATION MINING&SAFETY-MINERAL SA ETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE,:Q— There is a Nile Number Already Assigned to this Operation <br /> d Z Z ©3Z(Please reference the file number currently assigned to this operation)Permit# M 2 <br /> ELL New Application(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> 0—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 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 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 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/operator or company name(name to be used on permit): VIP MINE LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): <br /> 2. Operation name(pit,mine or site name): VIP MINE <br /> 3. Permitted acreage tnew or existing site): 40.38 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 40.38 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 commoditic(s)to be mined: gravel cobble <br /> 5.1 Incidental commodities) 385000 to be mined: 1. - Tons/yr lbs/Tons/vr 2. 41 tonslyrlbs/Tons/vr <br /> 3. lbs/Tons/yr 4. / lbs/Tons/vr 5. lbs/Tons/vr <br /> 5.2 Anticipated end use of primary cotmnoditie(s)to be mined: roadbase, structural fill <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: landscaping �� <br />