2023-03-01_PERMIT FILE - M2022051

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STATE OF COLORADO DIVISION OF RECLAMATION,MINING AND SAFETY Deparbrbtlt of Natural Resources RECEIVED 1313 Shenran St.,Room 21 S Denver,Colorado 80303 COLOR-ADO Phorte•003)866-3567 1 DIVISION o f FAX:(303)8324106 MAR Q t ZOZ3 RECLAMATION MINING DIVISION OF RECLAMATION, SAFETY CONSTRUCTION MAT#*)&3&SAFETY-MINERA+S SPECIAL(111)OPERATION RECLAMATION PERMIT APPLICATION FORM M-2022-051 ACY/THM The application for a Construction Materials Special 1 l l Operation Reclamation Permit contains four major parts:(1)the application form; (2)Exhibits A-L,Addendum 1,and any sections of Exhibit 6.5(Geotechnical Stability Exhibit),as required by the Office,and outlined in 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 you submit your application,be sure to include one(1)completed.sieved and notarized ORIGINAL and one(1)copy of the completed application form,two(2)copies of Exhibits A-L,Addendum 1,appropriate sections of Exhibit 6.5(Geotechnical Stability Exhibit),as required,a check for the application fee described under(4)below,and the fully executed Performance Warranty and Financial Warranty,if required. Exhibits should VM 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 processing,please provide the information in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly,in the space provided,all information described below 1. ADnllogVMrator or company name(name to be used on the permit): IHC Scott,Inc. 1.1 Type of organization(corporation,partnership,etc.): Corporation 2. Operation name(pit mine or site name): Collett Property 3. Permitted acreage: 9.07 Permitted Acres 4. New Appicatiou: Application Fee 5 Primary ommoditlei to be mired. Fill dirt and backfill material 6. Name of Rwner to the surface of affected land: Shane Collett 7. Name of owner to the subsurface rights of affected land: Shane Collett 8. Type of sdalm operation: M Surface F Underground 0 In-situ 9. Location iufornsation: The center of the area where the majority of mining will occur: CO Rio Blanco PRINCIPAL MERIDIAN(check one): 6th(Colorado) 1 Oth(New Mexico) a Ute`� SECTION(write number): S 9 TOWNSHIP(write number and check direction): T 4 North ✓ South RANGE(write number and check direction): R 94 East ✓ West QUARTER.SECTION(check one): NE NW SE SW QUARTEPUQUARTER SECTION(check one): NE RNW SE SW GENERAL DESCRIPTION:(the number of miles an rection from the nearest town and the approximate elevation): Residential propel, on the east side of SH13 approximately 17 miles north of Rifle, CO_ Office of Office of Mined land Reclamation Deriver - Grand lunction - Durango Active and Inactive Mines