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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources RECENED <br /> 1313 Sherman St.,Room 215 C O L O R A D O <br /> Denver,Colorado 80203 APR, 3,0 202'4 DIVISION Of <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)832-8106 000.40 As�¢ MINING <br /> Min fety 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 -2023-038 - (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 - 2023- 038 - (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-3,Exhibit 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. Applicant/operator or company name(name to be used on permit): Twin Buttes I and Co I I C <br /> 1.1 Type of organization(corporation.partnership,etc.): Coporation(L.L.C.) <br /> 2. Operation name(pit,mine or site name): Wagner Pit <br /> 3. Permitted acreage(new or existing site): 9.74 permitted acres <br /> 3.1 Change in acreage(+) 0.00 acres <br /> 3.2 Total Acreage in Permit Area 9.74 acres <br /> 4. Fees: <br /> 4.1 New Application: S1258.00 application fec <br /> Amendment Fee(C.R.S. 34-32.5-125(1I)): S827.00 application fee <br /> 5. Primary commoditie(s)to be mined: Sandstone(Rip-rap,Gravel upww rds toto 38"+)I imPstomP gavel cobbles(1"-12"+, Clays/Soils <br /> 5.1 Incidental commoditie(s)to be mined: 1. / lbs/Tons/yr 2. / lbs/Tons/yr.3. / lbs/Tons/yr <br /> None 4. / lbs/Tons.%vr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined:Rock for road base,rip-rap,fill,construction.ranch&land mgt. <br /> Anticipated end use of incidental commoditie(s)to be mined: <br />