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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 <br /> Denver,Colorado 80203 COLORADOnREC_LAMAst_TION <br /> Phone:{3o to 888-352 Revised 9/25/2025 for Technical Revision <br /> FAX(303)832-8106 <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:l f There is a File Number Already Assigned to this Operation <br /> P it# M - (Please reference the file number currently assigned to this operation) <br /> n <br /> New Application(Rule 1.4.5) © Amendment Application(Rule I.10) <br /> Conversion Application(Ruic I,1 I) <br /> Permit# M - 19 - 99 - 050 (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major pans:(I)the application <br /> form:(2)Exhibits A-S.Addendum I,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 (I) complete slimmed 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 jy,QT be bound or in a 3-ring binder:maps should be folded to <br /> 8 1/2"X I I"or K 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.OL information requested below. <br /> 1. Anolicant/onerator or comnanv name(name to be use1l on nermit): Connell Resources, Inc. <br /> I.1 Type of organization(corporation,partnership,etc.): Corporate <br /> 2. ()iteration name(nit,mine or site name): Timnath Connell Pit <br /> 3. Permitted acreage(new or existing site. : 121.4 -1 1.3 permitted acres <br /> 3.1 Change in acreage(+) Following AR-2 approval acres <br /> in August 2025 <br /> 3.2 Total acreage in Permit area 121.4 1 1.) acres <br /> 4. Fees: <br /> 4.1 New Application $2,696.00 application fee <br /> 4.2 New Quarry Application $3,342.00 quarry application <br /> 4.4 Amendment Fee $2.229.00 amendment fcc <br /> 4.5 Conversion to 112 operation(set by statute) $2.696.00 conversion fcc <br /> 5. Primary commoditie(s)to be mined: sand gravel <br /> 5.1 Incidental conumoditie(s)to be mined: 1, n/a - Ibs/Tonsivr 2. / IbsTonswr <br /> 3. I lbs/Tonsivr 4. i Ibs/Tonsivr 5. i lbs/Tonsiyr <br /> 5.2 Anticipated end use of primary commoditic(s)to be mined: construction materials <br /> 5.3 Anticipated end use of incidental commoditic(s)to be mined: n/a <br />