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22 <br /> Exhibit R <br /> Proof of filing with county clerk and recorder. <br /> 4 <br /> STATE OF COLOR A DO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> De3wrt74,1e d'ia`sa!Rwaaran <br /> 13tasn+rw,st noo„2rs <br /> Derive%Gloms,80203 COtORADO <br /> Phone(3.03)8663S67 n r v i t t G N G! <br /> FAX(303)e324106 P.EMINING <br /> MINING <br /> ��tsN CGG SA <br /> y SAFITTY <br /> CONSTRUCTION MATERIAL% SEAL <br /> REGULAR(I I2)OPERATION ,. <br /> RECLAMATION PERMIT APPLICATION F ,�.. 00 <br /> \\\ppp�\\�oRP G0f 2024 <br /> CHECK ONE. Pi There is a File Number Already Assigned to this Operation <br /> Permit k M -201'1-033 (please reference the file number cunenth assigned to this Operation) <br /> Ness Application(Rule 1 4 5) C Amcndmcnl Application(Rule 110) <br /> Consersian Application(Rule I.I I) �-- <br /> Permit II M _2014 . 033 - (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts.(I)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)our application,be sure to include one(I)complete signed and notarized ORIGINAL and one(I)copy of the completed <br /> application form,tun(2)copies of Exhibits A-S,Addendum I,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check for <br /> the application fee descnbed under Section(4)below Exhibits should NOT be hound or in a 3.ring binder;maps should be folded to <br /> S 1 R"X 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 pros ided,ALL information requested bcloa. <br /> i A i nlicant/operator or company name(name to be used on permit). KS Land,LLC <br /> I I Type of organization(corporation,partnership,etc.). partnership <br /> Operation name tint,min,or site name). Four X Ranch Gravel Pit <br /> 3 permitted acreatic(nos or tafytine site) 33.2 permitted sues <br /> 3 I Change in acreage(+) 43.91 acres <br /> 3.2 Total acreage in Permit area 77.11 acres <br /> 4 Fees <br /> 4.! New Application $2.696 00 application fee <br /> 4 2 New Quarry Application $3,342 00 quarry application <br /> 4 4 Amendment Fee S2.22900 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) <br /> $2,69600 cuncrruonfrr <br /> Prim rs c ommnditle(si to he mined Aggregate Gravel <br /> I Incidental comrnodttie(s)to be reined I - Iln!loris/yr 2. I Ibsrlons)t <br /> 3 I Ibs/Ions/yr 4 I IM(I'onslyt 5. / lbsrrons'}1 <br /> 5.2 Anticipated end use of primary co ,ditie(s)to be mined_ CDt1S1fUCt10f1 <br /> min <br /> 5 3 Anticipated end use of incidental cnmmoi mined <br /> htie(s)to be md n/a <br /> Four X Ranch Gravel Pit amendment <br />