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/yI-?o//-033 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />• Department of Natural Resources "C . IVED <br />1313 Sherman St., Room 215 Af ?I iJ C O L O RA D O <br />Denver, Colorado 80203 DIVSION OF <br />JUN 13 2 Q ? l REC I <br />LAMATION <br />Phone: (3003) 3) 866-3567 <br />FAX: (303) 832.8106 MINING <br />DIVIllan of IRft1affigluo , SAFETY <br />Wing & Safety <br />CONSTRUCTION MATERIALS Bill Ritter, Jr. <br />Governor <br />LIMITED IMPACT (110) OPERATION <br />Hams D. Sherman <br />RECLAMATION PERMIT APPLICATION FORM Executive Director <br />Ronald W. Can" <br />Division Director <br />Natural Resource Trustee <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />Perunt # M (Please reference the file number currently assigned to this operation) <br />?' 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 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 Stability Exhibit, as required <br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(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 (Geotechnical 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 8 1/2" X <br />11" 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 described below. <br />I . Applicant/oyerator or company name (name to be used on permit): Harry Corkle Construction <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />Corkle Construction Pit #2 <br />2. Operation name (pit, mine or site name): <br />3. Permitted acreage (new or existing site): 2.9 permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total Acreage in Permit Area 2.9 acres <br />4. Fees: <br />4.1 New Application: $1,258.00 application fee <br />Amendment Fee (C.R.S. 34-32.5-125(II)): 8$ 27.00 application fee <br />4.2 Conversion Fee (from 110d to 110 2 6$ , 96.00 conversion fee (Rule 1. 11.2(2)) <br />5. Primary commoditie(s) to be mined: Norte Rec Only Permit <br />5.1 Incidental commoditie(s) to be mined: 1. / lbs/Tons/yr 2. / lbs/Tons/yr 3. / lbs/Tons/yr <br />4. / lbs/Tons/vr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: None Rec only permit <br />Anticipated end use of incidental commoditie(s) to be mined: None <br />• Office cl Office of <br />Mined Land Reclamation Denver • Grand Junction Durango Active and Inactive Mines