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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />permitted acres <br />1313 Sherman St., Room 215 <br />Change in acreage ( +) <br />Ot D0O <br />Denver, Colorado 80203 <br />Phone: (303) 866 3567 CONSTRUCTION MATERIALS <br />acres <br />p O j p N <br />RECLAMATION <br />FAX: (303) 832 -8106 REGULAR (112) OPERATION <br />MINING <br />RECLAMATION PERMIT APPLICATION FORM <br />4. Fees: <br />SAFETY <br />CHECK ONE: ❑ There is a File Number Already Assigned to this Operation <br />Bin Ritter, Jr. <br />Governor <br />Harris D. Sheran <br />Pei M 0� �_� m <br />(Please reference the file number currently assigned to this operatiom)ecutive Director <br />New Application (Rule 14.5) Amendment Application (Rule 1.10) Ronald W. Cattany <br />Division Director <br />Conversion .Application (Rule 1.11) Natural Resource Trustee <br />Permit # M - - - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three mayor parts: (1) the application <br />form; (2) Exhibits A -S, Addendum 1, 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 (1) complete sii?rted 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 NOT be bound or in a 3 -ring binder; maps should be folded to <br />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. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): Connell Resources, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit mine or site name): Connell Carr Pit <br />3. Permitted acreage (new or existing site): <br />456.0 <br />permitted acres <br />3.1 <br />Change in acreage ( +) <br />RECEIVED <br />0 <br />acres <br />3.2 <br />Total acreage in Permit area <br />456.0 <br />acres <br />4. Fees: <br />-JAN 0 6 2014 <br />4.1 <br />New Application <br />$2,696.00 <br />application fee <br />4.2 <br />New Quarry Application <br />DIVISION OF RECLAMATION <br />$3,342.00 <br />quarry application <br />4.4 <br />Amendment Fee <br />MINING AND SAFETY <br />$2.229.00 <br />amendment fee <br />45 <br />Conversion to 112 operation (set by statute) <br />$2,696.00 <br />conversion fee <br />5 Primary commodities) to be mined: sand <br />gravel <br />5.1 <br />Incidental cornmoditie(s) to be mined: 1. <br />n1a lbs/Tons/yr 2. <br />/ <br />Ibs/Tons /yr <br />3. / lbs /Tons /vr 4. <br />/ lb& Fons/vr 5. <br />/ <br />lbs/Tons /yr <br />5.2 <br />Anticipated end use of primary commodities) to be mined: Construction Materials <br />5.3 <br />Anticipated end use of incidental commodine(s) to be mined: n/a <br />Office of Office of <br />Mined land Reclamation Denier • Grand Junction • Durango Active and Inactive Mines <br />