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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVED <br /> Department of Natural Resources p ry <br /> 1313 Sherman St.,Room 215 `cC E L 3 2024 <br /> Denver,Colorado 80203 JPRECLAMATIO�N <br /> D RA D O <br /> Phone:(303)866 3567 Colorado Division of Reclamation, s t o N f <br /> FAX:(303)832-8106 Mining and Safety IIG AFETY <br /> CONSTRUCTION MATERIALS <br /> LIMITED IMPACT(110)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE: R1 There is a File Number Already Assigned to this Operation <br /> Permit# M - 2024 02-3 (Please reference the file number currently assigned to this operation) <br /> ✓ New Application(Rule 1.4.5) Amendment Application(Rule 1.10) <br /> E Conversion Application(Rule 1.11) <br /> Permit# M - - 2024 023 (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 I I"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): Defiance Stone Company LLC <br /> 1.1 Type of organization(corporation,partnership,etc.): <br /> 2. Operation name(pit,mine or site name): Brown Quarry <br /> 3. Permitted acreage(new or existing site): 4.44 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total Acreage in Permit Area 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: sandstone <br /> 5.1 Incidental commoditie(s)to be mined: 1. / lbs/Tons/yr 2. / lbs/Tons/yr 3. / lbs/Tons/yr <br /> 4. / lbs/Tons/yr 5. / lbs/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: <br />