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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> RECEIVE® <br /> 1313 Sherman St.,Room 215 AM01 <br /> Denver,Colorado 80203 C O L O R A D O <br /> D IV I ON OF <br /> Phone:(303)866-3567 MAY 2 8 2020 RECLAMATION <br /> FAX:(303)832-8106 MINING <br /> JPL/jle DIVISION OF RECLAMATION SAFETY <br /> MINING&SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> Cn <br /> RECLAMATION PERMIT APPLICATION FORM K <br /> N <br /> 3 O <br /> CHECK ONE:In� There is a File Number Already Assigned to this Operation "0, 3 Q <br /> Permit# M - 2006 054 (Please reference the file number currently assigned to this operation) a <br /> N <br /> New Application(Rule 1.4.5) Amendment Application(Rule 1.10) n V1 <br /> Conversion Application(Rule LI1) : .0h <br /> in <br /> Permit# M - 2006 (154 (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1)the applicati( <br /> form;(2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5 (Geotechnical Stability Exhibit;and(3)the application fee. When y( <br /> submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the complet( o <br /> application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check f <br /> the application fee described under Section(4)below. Exhibits should NOT be bound or in a 3-ring binder;maps should be folded L O ID <br /> 8 1/2"X I I"or 8 1/2"X 14"size. To expedite processing,please provide the information in the format and order described in this fort 'U <br /> 17 ic <br /> GENERAL OPERATION INFORMATION cD Cnn <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): Arkansas Valley Ranch <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 2. Operation name(pit,mine or site name): ORDWAY PIT <br /> 3. Permitted acreage(new or existing site): 98 permitted acres <br /> 3.1 Change in acreage(+) 16.5 acres <br /> 3.2 Total acreage in Permit area 114.5 acres <br /> 4. Fees: <br /> 4.1 New Application $2,696.00 application fee <br /> 4.2 New Quarry Application $3,342.00 quarry application <br /> 4.4 Amendment Fee $2,229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2,696.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: ROCK SAND GRAVEL FILL DIRT <br /> 5.1 Incidental commoditie(s)to be mined: 1. NSA - lbs/Tons/yr 2. NSA / lbs/Tons/yr <br /> 3. NSA / Ibs/Tons/yr 4. NSA / Ibs/Tons/vr 5. NSA / lbs/Tons/yr <br /> ROAD MAINTENANCE,CONCRETE OR ASPHALT AGGREGATE,CONSTRUCTION AGGREGATE MATERIAL <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: N/A <br />