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DEPARTMENT OF PLANNING SERVICES <br /> 1555 N. 17th Avenue, Greeley,Colorado 80631 <br /> Phone (970)353-6100, Ext.3540 Fax (970)304-6498 <br /> USE BY SPECIAL REVIEW(MINING OPERATION)APPLICATION <br /> FOR THE DEPARTMENT OF PLANNING SERVICES USE ONLY <br /> Application Fee Receipt Number Case Number <br /> Recording Fee Receipt Number Zoning District <br /> Application Checked By: Planner Assigned to Case <br /> To be completed by APPLICANT is accordance with procedural guide requirements: <br /> 1. I(we),the undersigned,hereby request a hearing before the Weld County Planning Commission <br /> concerning a proposed Sand and Gravel (gravel, coal, borrow pit,etc.)mining operation for the <br /> following described unincorporated area of Weld County: <br /> LEGAL DESCRIPTION: <br /> Parts of the NE 114 and NW 1/4 of Section 30,T 5 N, R 67 W of 6th P.M. (see attachment to application form) <br /> PARCEL NUMBER: 095730000038 and_(12 digit number-found on Tax I.D. Information or <br /> obtained at the Assessor's Office). <br /> 2. Surface owner(s)of area of land described <br /> Name: Loveland Ready Mix, Inc. Address: See attachment Phone: <br /> Name: Croissant Family Trust Address: ee a ac men Phone: <br /> 3. Owner(s)of mineral rights or substance to be mined <br /> Name: same as above Address: Phone: <br /> Name: a as ove Address: Phone: <br /> 4. Source of applicant's legal right to enter and to mine on the land described: <br /> See attachment <br /> (Include certified copy of any document(s)noted <br /> 5. Applicant's address: Loveland Ready Mix, Inc. Phone: 970/667.2680 <br /> Address: P-O. Box 299, Loveland, Phone: <br /> 6. IdWtif any prior permits for mining held by applicant or affiliated person: <br /> 7. Description of Operation <br /> A. Types and number of operating and processing equipment to be used See attachment <br /> B. Maximum number of employees: 15-20 ,and number of shifts: 1 <br /> C. Number of stages to be worked: 4 , and periods of time each is to be worked 5 years. <br /> 14 <br /> E=Bff <br /> 2001-144.4 <br />