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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 /> Denver,Colorado 80203 FEB 0 4 2025 C O L O R A D O <br /> Phone_(303)866-3567 Do v r s 1 o N OF <br /> FAX:(303)832-8106 RECLAMATION <br /> Colorado Division of Reclamation, MINING <br /> Mining and Saftey SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR 012)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:Q_ There is a File Number Already Assigned to this Operation <br /> Perrot= M - - _ (Please reference the file number currently assigned to this operation) <br /> New Application(Rule 1.4.5) X Amendment Application(Rule 1.10) <br /> Conversion Application(Rule 1.1 ;) <br /> Permit:. M - -1991-133- (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts:(1)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 ORIGi'YAL and one (1) copy of the completed <br /> application form,two(2)copies of Exhibits A-S,Addendum t,appropriate sections of6.5(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 1,12"X i 1"or 8 !t2"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/one- for or company name(name to be used on permit): <br /> Robins Construction Real Estate <br /> 1.1 Type of organization(corporation,partnership,etc-)- LLC <br /> LLC <br /> '- Operation name t pit_mine or site names: <br /> Robins Consolidated Expansion it <br /> 3. Permitted acreage(new or existing site): <br /> 3.1 Change in acreage(+) <br /> 64.2 Permitted acres <br /> 50 acres <br /> 3.2 Total acreage in Permit area <br /> acres <br /> 4. Fees: 114.2 <br /> 4A New Application <br /> 4 2 New Quarry Application $2,696.00 application fee <br /> 4.4 Amendment Fee S3.342•00 quarry application <br /> 4.5 Conversion to 112 operation(set by statute) $2.229.00 amendment fee <br /> $2.696.00 conversion fee <br /> 5- Primary commodities)to be mined: Gravel Sand <br /> 5.1 Incidental commoditie(s)to be mined: 1. <br /> 50,000 ]bs,` ons;'Vr 2 lbs/Tons/vr <br /> 3. Ibs'Tons/vr 4 lbs'Tons/ <br /> 5• lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined:. Road CotlstruCtion Concrete Asphalt Pipeline <br /> 5.33 Anticipated end use of incidental commodities)to be mined Consructlon <br /> Summit Engineering Job N umber: 240328CE 1 <br /> 44 . . -- <br /> 719-589-6147 <br />