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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resourr.aG <br />1313 Sherman St., <br />�enver, Colorado 8 M1983-033 <br />Phone: (303) 866-3 — <br />FAX: (303) 832-810 �Compliedl <br />16 Minor Infractions <br />AM09 <br />0 Violations <br />�/jle/awa <br />���+�'�✓�� c o r. o Ra- <br />D I V 1 S 1 O N O F <br />RECLAMATION <br />APR 2 p �021 MINING <br />— &— <br />SAFETY <br />DIVISION OF RECLAMATI4� <br />MINING AND SAFETY <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: Q_ There is a File Number Already Assigned to this Operation <br />Permit # M- - -_ (Please reference the file number currently assigned to this operation) <br />� New Application (Rule 1.4.5) � Amendment Application (Rule 1.10) <br />� Conversion Application (Rule l.l 1) <br />Permit # M 1983 033 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 1 12 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum l, any sections of Exhibit 6.5 (Geotechnical 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 ofExhibits A-S, Addendum l, appropriate sections of6.5 (Geotechnical Stability Exhibit, and acheck 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 1/2" X 1 l" 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 INFORMAT[ON <br />Type or print clearly, in the space provided, ALL information requested below. <br />Apnlicant/operator or companv name (name to be used on permitl: ALBERT FREI & SONS, INC <br />l.l Type of organization (corporation, partnership, etc.): CORPORATION <br />2. Oaeration name (pit, mine or site namel: WALSTRUM QUARRY <br />3. Permitted acrease (uew or existin� site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 1 12 operation (set by statute) <br />5. Primary commoditie(sl to be mined: GRT <br />S.l Incidental commoditie(s) to be mined: �, NONE Ibs/Tons/vr <br />285.13 permitted acres <br />464.17 acres <br />749.3 acres <br />xxxxxxxx application fee <br />xxxxxxxx quarry application <br />$2 229.00 amendment fee <br />xxxxxxxx conversion fee <br />2. / lbs/Tons/vr <br />3. / Ibs/Tons/vr 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: CONSTRUCTION AGGREGATE <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A <br />