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DIVISION OF RECLAMATION, MINJNG AND SAFETY1�l <br />Department of Natural Re- sources <br />13i3 Sherman St., Room 215 <br />ltzc- <br />STATE OF COLORADO <br />Rr-C <br />Denver, Colorado 80203 ✓ Nnt) r n <br />Phone: (303) 866.3567 `„ CONSTRUCTION MATERIALS t`rl tY <br />FAX: (303) 832 -8106 C I (j�Y REGULAR (112) OPERATION DIViSlOh Of Re( <br />ekSf ) RECLAMATION PERMIT APPLICATION FORM Mining <br />l 8Rd <br />)LORADO <br />VISION O'F <br />All NING <br />SAFETY <br />Bill (livens <br />Governor <br />CHECK CHggK ONE: There is a File Number Already Assigned to this Operation Russell George <br />Permit # M - - (Please reference the file number currently assignled to this operaf"e d'reaor <br />New Application Rule 1.4.5 ) Amendment Application Rule 1.10 ) Ronald NV. Cattany <br />Division Director <br />Conversion Application (Rule 1.11) Natural Resource Trustee <br />Permit 11 M - - (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 application <br />form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnieal Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL. and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnieal Stability Exhibit, and a check far <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring binder; maps should bd folded to <br />8 1 /2" X 1 I or 8112" 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, AI.L Information requested below. <br />I. Applicant/operator or company name (name to be used on permit): Loveland Ready Mix Concrete Co. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />2. Operation name (pit, mine or site name): Bokelman- Walters <br />3. Permitted. acreage (new•or existing site): <br />3.1 Change in acreage ( +) <br />3.2 'total acreage in Pertnit area <br />4. Fees: <br />201 permitted acres <br />— acres <br />201 acres <br />4.1 <br />New Application <br />$2.344.00 <br />application fee <br />4.2 <br />New Quarry Application <br />$2,906.00 <br />quarry application <br />4.4 <br />Amendment Fee <br />$1,938.00 <br />amendment fee <br />4.5 <br />Conversion to 112 operation (set by statute) <br />$2,344.00 <br />conversion fee <br />5. Primary commodities) to be mined: sand gravel <br />5.1 <br />Incidental commoditie(s) lobe mined: 1. _ NIA - ` lbs/`I'ons/ <br />2. / <br />1b..vTomu <br />Ibyrons/yr 4. _ ! lb%flbnsNT S. / lbsrTons<'vr <br />5.2 Anticipated end use of primary commodities) to be mined: construction <br />5.3 Anticipated end use of incidental commodities) to be mined: NIA <br />Office of Office of <br />Mined Land Reclamation Active and Inactive Mops <br />