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STATE OF COLORADO <br />DIVISION! OF K*AMAVON, MINING AND SAFETY <br />RECL6 <br />Departmert of Natural Roma s <br />1313 Shemwn St, Room 213 OCT g <br />1 3 Zulu <br />Denver, Colorado 80203 u O L a A <br />o0 <br /> <br />Phontr: (3o9) 86&3567 <br />Division of Reclamation, ar <br />i <br />R DIVISION Of <br />FAX.- 13031832-8106 s? t± <br />l?llinirg & Safety <br />MINING <br /> SAFTTY <br /> CONSTRUCTION MATERIALS <br /> Big Ito 1r <br /> LIMITED IMPACT (II0) OPERATION 100waor <br /> Hath D.Shawim <br /> RECLAMATION PERMIT APPLICATION FORM EW-wW olteoor <br />Ronald W. cattatty <br />Division 01n -r <br />•Np •ONE: Himml Rmume Unim <br />-a There is s File Number Airettdy Assigned to this Operation <br />Permit # M -10--A--DO (please reference the Wzmunbef currently assigned to this operation) <br />_ New Application (Rule IA. 5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # N (provide for Amendments and Converflont 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-), Exhibit L, Addendum 1. any sections of Exhibit 6.5 and Gooteehnical Stability Exhibit, as required <br />by the Office, and outfitted in Rules 6.1.6.2.6.3.6.5, and 1,61(1)(b); and (3) the application fee. When you submit your application. be <br />sure to include one (1) comolete signed and nolarizzr QRIGINAL and one (1) copy of the completed application form, two (2) copies <br />of Exhibits A-J. Exhibit 1, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />the application fee described tinder (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8112" X <br />11" or 8 112" X 14" sire. To expedite processing, please provide the information in the fbrmmt and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, In the spare provided, ALL information described below. <br />1. Aoalicantlowrator or crottuany name w to be und on vermi:ti: TIMOTHY D. WILLIAMS & BETTY J. WILLIAMS <br />1.1 Type of organization (corporation, partnership, etc.): PARTNERSHIP <br />2. Operation name (pit. mine or site name): WILLIAMS PIT No. 1 <br />3. Etrmltted serene (new or existing slt!J 9.85 permitted acres <br />3.1 Change in acreage (-+-) acres <br />3.2 Total Acreage in Permit Area 9.85 acres <br />4. Fees: <br />4.1 New Application: SI "8,Oi! application fee <br />Amendment Fee (C.R.S. 34-32.5-125(tl)): S827,QU application fee <br />4.2 Conversion fee (frothy I lod to 110 Sk 966 .00 conversion fee (Rule 1.11.2(2)) <br />5. Primary eoMW10tic(s,1 to be mined: CONSTRUCTION FILL ROAD BASE <br />5.1 Incidental commoditie(s) to be mined: 1. J+ lb-A-m w 2. / IbwTorwlvr 3. _ 1 lbatTonsivr <br />4. 1 lh.3g j yr 5. ! ib. of <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ROAD BASE FOR CORDOVA WIND FARM <br />Anticipated end use of incidental commoditie(s) to be mimed: <br />00ke Of office a( <br />Mind Land Redla vation Denton • Crand function • Durango Acthoe and WcOve mines