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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />CHECK ONE: <br />11 <br />JU' 2 5 <br />D1VISIOH OF F. C.L IV:ATiOi, <br />MINING AND SAFETY <br />CONSTRUCTION MATERIALS <br />LIMITED IMPACT (110) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />There is a File Number Already Assigned to this Operation <br />Permit # M - 1977 1977 19.5 (Please reference the file number currently assigned to this operation) <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SA ETY <br />New Application (Rule 1.4.5) El Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1. t 1) <br />Permit /' N1 1977. 195 (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 fec. 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 1., Addendum I, 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 hound 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): Hard Rock Paving and Redi-Mix Inc. <br />1.1 Type of organization (corporation, partnership, etc.). corporation <br />2. Operation name (pit, mine or site name): Hard Rock 291 Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total Acreage in Permit Area <br />4. Fees: <br />4.1 New Application: <br />Amendment Fee (C.R.S. 34-32.5-125(11)). <br />5. Primary commoditie(s) to be mined: gravel <br />5.1 incidental commoditie(s) to be mined: 1. NA / lbsiTons'yr 2 <br />4. ' lbs/Tons yr <br />5.1 Anticipated end use of primary commoditie(s) to he mined. <br />Anticipated end use of incidental commoditie(s) to be mined: <br />V AF & Report <br />V Violations <br />MV 1990016 4/30/1990 <br />6.0 <br />0 <br />6.0 <br />permitted acres <br />acres <br />acres <br />51258.00 application fee <br />5827.00 application fee <br />lbsrTons/yr 3. / lbs1Tons/yr <br />5. r IbsiTons/yr <br />construction material <br />NA <br />