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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources ^ <br /> Den Sherman St. �9'EI V 1J C O L O R A D O <br /> Denver,Colorado �V AMA p 1 V I s 1 n n F <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX.(303)832-8106 SEP $ Z023 NCGIAME MINING <br /> OF RECLAMATION, SAFETY <br /> DIVISIO&SAFETY-MINERALS <br /> M►NING CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:0 _ 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 LI0) <br /> Conversion Application(Rule 1.H) <br /> Permit# M - 2006- (142 (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 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,ALL information requested below. <br /> 1. Apalicant/oyerator or company name(name to be used on permit). MMM Partnership Gravel Pit <br /> I A Type of organization(corporation,partnership,etc.): MMM Partnership LLP <br /> 2. Operation name(pit,mine or site name): MMM Partnership Gravel Pit <br /> 3. Permitted acreage(new or existing site): 27.8 permitted acres <br /> 3.1 Change in acreage(+) 31.4 acres <br /> 3.2 Total acreage in Permit area 59.2 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 /> �. Primary commoditie(s)to be mined: Sand Gravel Rock Clay <br /> 5.1 Incidental commoditie(s)to be mined: 1. lbs/Tons/vr 2. / Ibs/Tons/vr <br /> 3. / lbs/Tons/vr 4. / Ibs/Tons/vr 5. / lbs/Tons/vr <br /> Anticipated end use of primary commoditie(s)to be mined: Roads, Construction Fill and Base <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: <br />