2017-05-09_REVISION - M1997058 ‎(3)‎

• Permit No: M1997058
• IBM Index Class Name: REVISION
• Doc Date: 5/9/2017
• Doc Name: Application
• From: Bestway Concrete Co. / Hall-Irwin
• To: DRMS
• Type & Sequence: SO3
• Email Name: ECS
• Email Name: WHE
• Email Name: BJC
• Media Type: D
• Archive: No

HALL-IR`VIN AGGREGATES, LLC
301 CENTENNIAL DRIVE
MILLIKEN, CO 80543 RErfEIVrED
[phone]
June 15,2017 jUI 17 2017
Divisi,n,n of PF-rlamation,
Reclamation Permit No: M1997058 Name:Baseline Resource ;-safety
Location: 11723 CR 2,Brighton,CO Permit Issued:Feb 12,1998
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 either:
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 Colorado Mined Land Reclamation Board("Board")has determined that this form,if properly
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. WCR 2/E 168th Ave
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 Weld
County(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 Baseline Resource, File
Number:M1997058.