2017-05-09_REVISION - M1996060 ‎(3)‎

• Permit No: M1996060
• IBM Index Class Name: REVISION
• Doc Date: 5/9/2017
• Doc Name: Application
• From: Bestway Concrete
• To: DRMS
• Type & Sequence: SO3
• Email Name: ECS
• Email Name: WHE
• Email Name: BJC
• Media Type: D
• Archive: No

11A Iiq 0 Q/
RECEIVED
HALL-IRWIN AGGREGATES, LLC
301 CENTENNIAL DRIVE JUL 17 2017
MILLIKEN, CO 80543
[phone] '`P-.clamation,
<: Safety
June 15, 2017
Reclamation Permit No:M1996060 Name: Firestien Resource
Location: T6N R66W Sec 31 S2S2 Permit Issued: Dec 31, 1996
This letter is being provided to you as the owner of a structure on or within two hundred (200) feet of a
proposed mine site. The State of Colorado, Division of Reclamation, Mining and Safety("Division")
requires that where a mining operation may adversely affect the stability of any significant,valuable and
permanent man-made structure located within two hundred (200)feet of the affected land,the
applicant shall ether:
a) Provide a notarized agreement between the applicant and the Person having an interest in
the structure,that the Application is to provide compensation for any damage to the
structure; or
b) Where such an agreement cannot be reached, the Application shall provide an appropriate
engineering evaluation that demonstrates that such structures shall not be damaged by
activities occurring at the mining operation; or
c) Where such structure is a utility,the Applicant may supply a notarized letter,on utility
letterhead, from the owner(s) of the utility that the mining and reclamation activities, as
proposed, will have "no negative effect" on their utility. (Construction Materials Rule 6.3.12
and Rule 6.4.19& Hard Rock/Metal Mining Rule 6.3.12 and Rule 6.4.20)
The.rA1A#-ndn Min_v_1_rind nprhymntinn Rnnrd Plnnor 11)6:nc r/eter:7iinad thast this form- if promarly
executed, represents an agreement that complies with Construction Materials Rule 6.3.12(a), Rule
6.4.19(a)and C.R.S. §34-32-115(4)(d). This form is for the sole purpose of ensuring compliance with
the Rules and Regulations and shall not make the Board or Division a necessary party to any private
civil lawsuit to enforce the terms of the agreement or create any enforcement obligations in the Board
or the Division.
The following structures are located on or within 200 feet of the proposed affected area:
1. RESIDENCE & EQUIP BLD
2.
3.
4.
5.
(Please list additional"structures on a separate page)
CERTIFICATION
The Applicant, Hall-Irwin Aggregates, LLC, by Bret Hall, as Manager, does hereby certify that GLENN
S & ROBERTA SMITH (structure owner) shall be compensated for any damage from the proposed
mining operation to the above listed structure(s) located on or within 200 feet of the proposed
affected area described within Exhibit A of the Reclamation Permit Application for Firestien
Resource, File Number: M1996060.