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n lCll L Ur l.'ULUIVA I)u <br />DIVISION Of RECLAMATION, MINING AND SAf <br />Deparknent of Natural Resources <br />1313 Shemian SL, CO <br />s <br />Denier, 20k Phone: (303) 7 OR ? <br />FAX: (303) 832 `? 1` <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />pURANGO rwCl.ANiP?IUNDIVISION OF RE SAFES CTION MATERIALS Bill RHW, Jr. <br />?AINiNG AND <br />LIlVIITED 1aVIPACT (110) OPERATION Governor <br />Harris D. Sherman <br />RECLAMATION PERMIT APPLICATION FORM Executive DireMr <br />Ronald W. Canary <br />Division Director <br />CHECK ONE: R There Is a File Number Already Assigned to this Operation Natural Resource Trustee <br />Permit # M- -1988-021 (Please reference the number currently assigned to this operation) <br />-? <br />New Application (Rule 1.4.5) F x-1 Application (Rule 1.10) A k <br />Conversion Application (Rule 1.11) <br />Permit # M-1988-021 provide for Amendments and Conversions 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 -J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stabiility Exbibit, as required <br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.62(l)(b); and (3) the application fee. When you submit your application, be <br />sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies <br />of Exhibits A -J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geoteclmical Stability Exhibit), as required, and a check for <br />the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 81/2" X <br />11" or 81/2" 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 described below. <br />1. Applicant/ooerator or company name (name to be used on permit): Soward Ranch, LLC <br />IA Type of organization (corporation, partnership, etc.): Limited Liability Company <br />2. Operation name (pil mine or site name): Soward Ranch Pit <br />3. Permitted acreage (new or existing site): 5 permitted acres <br />3.1 Change in acreage (+) 4.9 9 acres <br />32 Total Acreage in Permit Area 9.99-acres <br />4. Fees: <br />4.1 New Application: $1,258.00 application fee <br />Amendment Fee (C.R.S. 34-32.5-125(I)): wl"$827.00 application fee <br />4.2 Conversion Fee (from 1 10d to 110 2$•696.00 conversion fee (Rule 1.11.2(2)) <br />5. Primary commoditie(s) to be mined: Sand & Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. / lbs/Tons/vr 2. / Ibs/Tons/yr 3. / 1his/Tons/vr <br />4. / 1bsrTons/yr 5. / 1bs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction Material <br />Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of <br />Mined Land Redamation Denver • Grand junction • Durango Actiw and Inactive Mines