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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman SL,Room 215 COLORADO <br /> Denver,Colorado 80203 M-2024-025 DIVISION OF <br /> Phone:(303)866-3567 RECLAMATION <br /> FAX:(303)832-8106 ERR/ZTt MINING <br /> &_ <br /> SAFETY <br /> CONSTRUCTION MATERIALS RECEIVED <br /> SPECIAL(111)OPERATION RECEIVED <br /> RECLAMATION PERMIT APPLICATION FORM NAY 2 3 2024 <br /> Colorado Division of Reclamation, <br /> Mining and Safety <br /> The application for a Construction Materials Special 111 Operation Reclamation Permit contains four major parts:(1)the application form; <br /> (2)Exhibits A-L,Addendum 1,and any sections of Exhibit 6.5(Geotechnical Stability Exhibit),as required by the Office,and outlined in <br /> 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 <br /> you submit your application,be sure to include one(1)completed,signed and notarized ORIGINAL and one(1)copy of the completed <br /> application form,two(2)copies of Exhibits A-L,Addendum 1,appropriate sections of Exhibit 6.5(Geotechnical Stability Exhibit),as <br /> required,a check for the application fee described under(4)below,and the fully executed Performance Warranty and Financial Warranty,if <br /> required. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2" X 11" or 8 2" X 14"size. To expedite <br /> 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 the permit): <br /> City of Aurora <br /> 1.1 Type of organization(corporation,partnership,etc.): municipal government <br /> 2. Operation name(pit,mine or site name): Wild Horse West Test Quarry <br /> 3. Permitted acreage: g Permitted Acres <br /> 4. New Application: $898.00 Application Fee <br /> 5. Primary commoditle(s)to be mined: Boulders,Sands and Gravels <br /> 6. Name of owner to the surface of affected land: Hartsel Springs Ranch of Colorado,Inc AND City of Aurora <br /> 7. Name of owner to the subsurface rights of affected land: Bureau of Land Management(Federal Mineral Estates) <br /> 8. Type of mining operation: II Surface a Underground Li In-situ <br /> 9. Location information: The center of the area where the majority of mining will occur: <br /> CO y . Park <br /> PRINCIPAL MERIDIAN(check one): 0 6th(Colorado) fl (New Mexico) II Ute <br /> SECTION(write number): S 31 <br /> TOWNSHIP(write number and check direction): T 12 _ North South <br /> RANGE(write number and check direction): R 75 East ✓ West — <br /> QUARTER SECTION(check one): NE 1 NW _ SE SW <br /> QUARTER/QUARTER SECTION(check one): NE NW ✓ SE tr SW <br /> GENERAL DESCRIPTION:(the number of miles an rection from the nearest town and the approximate elevation): <br /> Permitted Boundary is approx. 4.25 mi SSW of Hartsel. CO at approx. Elevation 9200. <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />