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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 M-2024-028 COLORADO <br /> Denver,Colorado 80203 D DIVISION OF <br /> Phone �VBFB/ZTT RECLAMATION <br /> FAX:( <br /> MINING <br /> SUN A 2.2024 SAFETY <br /> �lamat►0n+ CONSTRUCTION MATERIALS Bill Ritter,Jr. <br /> COlOrad°541' on d R LIMITED IMPACT(110)OPERATION Governor <br /> Mlntn9 and$af6ry Harris D.Sherman <br /> RECLAMATION PERMIT APPLICATION FORM Executive Director <br /> Ronald W.Cattany <br /> Division Director <br /> CHECK ONE: El There is a File Number Already Assigned to this Operation Natural Resource Trustee <br /> Permit# M 2'b?t4 ` -Z D (Please reference the file number currently assigned to this operation) <br /> Ca New Application(Rule 1.4.5) ® Amendment Application(Rule 1.10) <br /> 11 Conversion Application(Rule 1.11) <br /> Permit# M - - - (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 <br /> by 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 <br /> sure to include one(1)complete signed and notarized ORIGINAL and one(1)copy of the completed application form,two(2)copies <br /> of Exhibits A-J,Exhibit L,Addendum 1,and appropriate sections of 6.5(Geotechnical Stability Exhibit),as required,and a check for <br /> the 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 <br /> 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 described below. <br /> 1. Applicant/operator or company name(name to be used on permit): Zuege Mine LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): Limited Liability Corporation <br /> 2. Operation name(pit,mine or site name): Zuege Mine <br /> 3. Permitted acreage(new or existing site): 9.90 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total Acreage in Permit Area 9.90 acres <br /> 4. Fees: <br /> 4.1 New Application: $1,258.00 application fee <br /> Amendment Fee(C.R.S.34-32.5-125(II)): 3830200 application fee <br /> 4.2 Conversion Fee(from 110d to 110$X196:1110 conversion fee(Rule 1.11.2(2)) <br /> 5. Primary commoditie(s)to be mined: Sand Gravel Borrow <br /> 5.1 Incidental commoditie(s)to be mined: 1. NA/ lbs/Tons/yr 2. / lbs/Tons/vr 3. / lbs/Tons/yr <br /> 4. / lbs/Tons/yr 5. / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Construction materials and fill materials <br /> Anticipated end use of incidental commoditie(s)to be mined: NA <br /> Office of Office of <br /> Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />