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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources RECEIVED <br /> 1313 Sherman St.,Room 215 <br /> COLO RADO <br /> Denver,Colorado 80203 DIVISION OF <br /> Phone:(303)866-3567 ll iu 2 0 )014 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> DIVISION OF RECLAMATION SAFETY <br /> MINING AND SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:El There is a File Number Already Assigned to this Operation <br /> Permit# M .-22t —C' (Please reference the tile number currently assigned to this operation) <br /> 12 New Application(Rule 1.4.5) Amendment Application (Rule 1.10) <br /> ® Conversion Application(Rule 1.11) <br /> Permit# M - - - (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 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 1 1"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. Applicant/operator or company name(name to be used on permit): HUERFANO COUNTY GOVERNMENT <br /> 1.1 Type of organization(corporation,partnership,etc.): COLORADO COUNTY <br /> 2. Operation name(pit,mine or site name): PEAK VIEW PIT <br /> 3. Permitted acreage(new or existing site): 40 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 40 acres <br /> 4. Fees: <br /> 4.1 New Application -* S2,696.00 application fee <br /> 4.2 New Quarry Application S3,342.00 quarry application <br /> 4.4 Amendment Fee S2,229.00 amendment fee <br /> 4.5 Conversion to 1 12 operation(set by statute) S2,696.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: SAND GRAVEL ROAD BASE BORROW <br /> 5.1 Incidental commoditie(s)to be mined: 1. 0 Ibs,Tonsyr 2. 0 lbs/Tons/yr <br /> 3. lbs/Tons/yr 4. 0 IbsiTons,yr 5. 0 / lbs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: HUERFANO COUNTY ROADS <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: N/A <br />