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1llllllllll�lllllll, RECEIVED - /7eY <br /> � MAR 2 0 2001 7FOF � a'3�-pa <br /> _ _ � -ATE _ <br /> DIVISION OF MINERALS AND GEOL86'00 111 IIIlllllll111!II <br /> Deoarsment of Natural Resources 9t�9 <br /> 1313 Sherman St..Room 215 <br /> OtvlsluN ai <br /> Denver.Colorado 80203 <br /> Phone:(303)866-3567 CONSTRUCTION MATERIALS M I N E RA L S <br /> FAX.(303)832-8106 REGULAR(112)OPERATION & <br /> GEOLOGI <br /> RECLAMATION PERMIT APPLICATION FORM R E C L A M A T 1 0 r: <br /> MINING-SAFET" <br /> aril Owens <br /> Governor <br /> CHECK ONE: There is a File Number Already Assigned to this Operation <br /> Greg E.Walther <br /> Permit# M -.�-07� (please reference the file number currently assigned to this operation) Fxecutrve Director <br /> Michael B.Gong <br /> _X New Application(Rule 1.4.5) Amendment Application(Rule 1.10) Division Director <br /> Conversion Application(Rule 1.11) <br /> Permit 4 M (provide for Amendments and Conversions of existing permits) <br /> 1 <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts:(1)the application form, <br /> (2)Exhibits A-S,Addendum 1,any sections of Exhibit 6.5(Geotechnical Stability Exhibit-,and(3)the application fee. When you submit your <br /> application,be sure to include one (1) complete signed and notarized IVORY ORIGINAL and four(4) copies of the completed vo <br /> application form,five(5)copies of Exhibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check for <br /> the application fee described under Section (4)below. Exhibits should NOT be bound or in a 3-ring binder,maps should be folded to <br /> 8 I/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 form. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,all information described below. <br /> I. Applicant/operator or company name(name to be used on permit): <br /> ].,ovpland Ready Mix Concrete. Inc. <br /> 1.1 Type of organization(corporation,partnership,etc.): Corporation <br /> 1.2 IRS.Tax I.D. No.or Social Security Number: <br /> 2. Operation name(pit,mine or site name)- Green/Croissant Property Sand and Gravel Mine <br /> 3. Permitted acreage(new or existing site): 210 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 210 acres <br /> 4. Fees: <br /> 4.1 New Application $2,344.00 application fee <br /> 4.2 New Quarry Application S2,906.00 quarry application <br /> 4.4 Amendment Fee $1.938.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) $2.344.00 conversion fee <br /> OPrimary commodWe(sl to be mined: SD 6 <br /> 51 Incidental commoditie(s)to be mined: 1. / lbslrons/yr 2. / bsrrons/vr 3. / Ibs/rons/vr <br /> 4. / lbs/rons/vr 5. 1 Ibstfonslvr <br /> 5.2 Anticipated end use of primary commodities)to be mined: <br /> 5.3 Anticipated end use of incidental commodities)to be mined: <br />