2013-04-08_PERMIT FILE - M2013023 (6)

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DIVISION OF RECLAMATION, MINING AND SAFETY Department of Natural Resources 1313 Sherman St, Room 215 Denver, Colorado 80203 Phone: (303) 866 -3567 FAX: (303) 832 -8106 STATE OF COLORADO /0- 2013- CONSTRUCTION MATERIALS LIMITED IMPACT (110) OPERATION RECLAMATION PERMIT APPLICATION FORM RECEAD SS ,, qq I V ED AP R 0r3 2 013 CHECK ONE: ILL There is a File Number Already Assigned to this Operation � 'VM I N I N G F N RFC MA TION Permit # M - - -_ (Please reference the file number currently assigned to this opera t ry ✓ New Application (Rule 1.4.5) n Amendment Application (Rule 1.10) Conversion Application (Rule 1.11) Permit # M - (provide for Amendments and Conversions of existing permits) The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the application form; (2) Exhibits A -J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required 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 sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies of Exhibits A -J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for 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 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, ALL information described below. 1. Applicant/operator or company name (name to be used on permit): Riverside Aggregates LLC 1.1 Type of organization (corporation, partnership, etc.): 2. Operation name (pit, mine or site name): Sharp Pit 3. Permitted acreage (new or existing site): 9.9 3.1 Change in acreage ( +) 3.2 Total Acreage in Permit Area 4. Fees: 4.1 New Application: $1258.00 Amendment Fee (C.R.S. 34- 32.5- 125(II)): $827.00 5. Primary commoditie(s) to be mined: Gravel Sand Limited Liability Company 9.9 COLORADO D I V I S I O N O F RECLAMATION MINING — &— SAFETY permitted acres acres acres application fee application fee 5.1 Incidental commoditie(s) to be mined: 1. / lbs/Tons/yr 2. / lbs/Tons/yr 3. / lbs/Tons/yr 4. / lbs/Tons/vr 5. / lbs/Tons/yr 5.2 Anticipated end use of primary commoditie(s) to be mined: Anticipated end use of incidental commoditie(s) to be mined: Construction material