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V <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> ,': <br /> 1313 Sherman St.,Room 215 @@L <br /> '�, <br /> Denver,Colorado 80203 + C O L O R A D O <br /> Phone:(303)866-3567 n i v► s i o N o e <br /> RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> LIMITED IMPACT(110)OPERATION "+� �►j.�j <br /> RECLAMATION PERMIT APPLICATION FORM HAY <br /> 1��� <br /> D/WS/pN orb <br /> CHECK ONE: — Already Assigned to this Operation M/N/NG14ND ,rOf <br /> Permit A M-201 7-021 'lease reference the file number currently assigned to this operation) <br /> ✓ New Application(Rule 1.4.5) Amendment Application(Rule L I0) <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 by <br /> 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 <br /> to include one (1)complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two(2)copies of <br /> Exhibits A-J, Exhibit L,Addendum 1,and appropriate sections of 6.5 (Geotechnical Stability Exhibit),as required,and a check for the <br /> 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 <br /> 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 /> 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): Harmony Gardens Site <br /> 3. Permitted acrealle(new or existing site): 9.9 permitted acres <br /> 3.1 Change in acreage(+) 0 acres <br /> 3.2 Total Acreage in Permit Area 9.9 acres <br /> 4. Fees: <br /> 4.1 New Application: $1258.00 application fee <br /> Amendment Fee(C.R.S.34-32.5-125(11)): $827.00 application fee <br /> 5. Primary commoditie(s)to be mined: sand gravel <br /> 5.1 Incidental commoditie(s)to be mined: 1. n/a / Ibs/Tons/yr 2. / Ibs/Tons/yr 3. / lbs/Tons/yr <br /> 4. / Ibs/Tons/yr 5. / Ibs/Tons/yr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Construction Materials <br /> Anticipated end use of incidental commoditie(s)to be mined: n/a <br />