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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />EPD <br />CONSTRUCTION MATERIALS <br />SPECIAL (111) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />M- 2015 -010 <br />COLORADO <br />D I V I S I ON O F <br />RECLAMATION <br />MINING <br />SAFETY <br />RE(;EIVED <br />MAR 1 2015 <br />DIVISION OF RECUMATION <br />MINING AND SAFETY <br />The application for aConstruction Materials Special 1 I l Operation Reclamation Permitcontains fourmajorparts: (1) theapplication form; <br />(2) Exhibits A -L, Addendum 1, and any sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(l)(b); (3) the application fee; (4) the Performance Warranty and if required a Financial Warranty. When <br />you submit your application, be sure to include one (1) completed, signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A -L, Addendum 1, appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as <br />required, a check forthe application fee described under (4) below, andthe fully executed Performance Warranty and Financial Warranty, if <br />rewired. Exhibits should NOT be bound or in 3 -ring binders; maps should be folded to 8 2" X 11" or 8 2" X 14" size. To expedite <br />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 /operator or company name (name to be used on the permit): <br />Castle Rock Construction Company of Colorado, LLC <br />1.1 Type of organization (corporation, partnership, etc.): _partnership <br />2. Operation name (pit, mine or site name): Clapper Sand Pit <br />3. Permitted acreage: <br />4. New Application: <br />5. Primary commodities) to be mined: sand and gravel <br />6. Name of owner to the surface of affected land: Clapper Family LLP etal <br />7. Name of owner to the subsurface rights of affected land: Clapper Family LLP etal <br />8. Tvpe of mining operation. M Surface [�J Underground 0 In -situ <br />28 Permitted Acres <br />$898.00 Application Fee <br />9. Location information: The center of the area where the majority of mining will occur: <br />CO <br />r• Kit Carson <br />PRINCIPAL MERIDIAN (check one). x 6th (Colorado) 10tH (New Mexico) F Ute <br />SECTION (write number): S-10— <br />TOWNSHIP (write number and check direction): T _ 9S _ North <br />RANGE (write number and check direction); R 48W East <br />QUARTER SECTION (check one): L NE x NW <br />QUARTER/QUARTER SECTION (check one): AE NW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest tov <br />South <br />West <br />SE SW <br />x SE SW <br />,n and the approximate elevation): <br />approx. 2 miles southwest of Vona, CO, 3/4 miles southwest of Lincoln CRU & CR23 <br />elevation 4500' <br />Office of Office of <br />Mined land Reclamation Denver • Grand Junction - Durango Active and Inactive Mines <br />