2019-07-15_PERMIT FILE - M2019041

• Permit No: M2019041
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/15/2019
• Doc Name: Application
• From: SEMA Construction
• To: DRMS
• Email Name: PSH
• Email Name: MAC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural Resources RECEIVED
1313 Sherman 5t,Room 215 M 2019 =041 Denver,Colorado 80203C O L O R A D O
Phone:[phone] JUL 15 2019 DIY! a ! O N O P
RECLAMATION
FAX:[phone] MINING
PSH/mcrc
C)1ViSION OF RECLAMATION —&•—
$M� Jselilyil�AliIOSAFETY SAFETY
.� ONSTRUCTION MATERIALS
SPECIAL(111)OPERATION
RECLAMATION PERMIT APPLICATION FORM
The application for a Construction Materials Special 11 l Operation Reclamation Permit contains four major parts:(1)the application form;
(2)Exhibits A-L,Addendum 1,and any sections of Exhibit 6.5(Geotechnical Stability Exhibit),as required by the Office,and outlined in
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
you submit your application,be sure to include one(1)completed,signed and notarized ORIGINAL and one(1)copy of the completed
application form,two(2)copies of Exhibits A-L,Addendum 1,appropriate sections of Exhibit 6.5(Geotechnical Stability Exhibit),as
required,a check for the application fee described under(4)below,and the fully executed Performance Warranty and Financial Warranty,if
required. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2" X 1I" or 8 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. Ayolicant/operator or company name(name to be used on the permit):
SEMA Construction, Inc.
1.1 Type of organization(corporation,partnership,etc.): Corporation
2. Operation name(pit,mine or site name): Motorcross Borrow Pit
3. Permitted acreage: 28.30 Permitted Acres
4. New Application: $898.00 Application Fee
5. Primary commodities)to be mined: Borrow Material(Soil)
6. Name of owner to the surface of affected land: Mile 250 LLC
7. Name of owner to the subsurface rights of affected land: Mile 250 LLC
8. Tvne of minine operation: fZ1 Surface Q Underground II In-situ
9. Location information: The center of the area where the majority of mining will occur:
CO Weld
PRINCIPAL MERIDIAN(check one): y6th(Colorado) _ . _- loth(New Mexico) Ute
SECTION(write number): S 22
TOWNSHIP(write number and check direction): T 4 ✓ North iiiiiii South
RANGE(write number and check direction): R 66 East ✓ West
QUARTER SECTION(check one): NE NW ✓ SE SW
QUARTER(QUARTER SECTION(check one): NE NW SE ✓ SW
GENERAL DESCRIPTION:(the number of miles aindirectin from the nearest town and the approximate elevation):
Berthoud Golo.lies aooroxi 41/2 miles west of the nit.The apnrox elevation is 4890 ft, MBb_
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines