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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 <br /> COLO R A D OOrDenver,Colorado 80203 D I V I S I O N <br /> LMTOPhone:(303)866-3567 RECAAIN <br /> FAX:(303)832-8106 MINING <br /> SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:�_ 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 1.11) <br /> Permit# M - (provide for Amendments and Conversions of existing permits) <br /> The application for a Conshuction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1)the application <br /> form;(2)Exhibits A-S,Addendum 1,arry 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 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 1/2"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 /> TNpe or print clearly,in the space provided,ALL information requested below. <br /> 1. Applicant/operator or comuam name(name to be used on permit): Loveland Ready-Mix Concrete, Inc. <br /> 1.1 Type of organization(corporation. partnership. etc.): Sub S Corporation <br /> 2. Operation name(pit,mine or site name): Dunn Pit <br /> 3. Permitted acreage(new or existing site): 114.25 permitted acres <br /> 3.1 Change in acreage(+) acres <br /> 3.2 Total acreage in Permit area 114.25 acres <br /> 4. Fees: <br /> 4.1 New Application �£- 6.O�catron <br /> 4.2 New Quarry Application �4ZTll- quarry application <br /> 4.4 Amendment Fee $2.229.00 amendment fee <br /> 4 5 Conversion to 112 operation(set by statute) $2.696.00 conversion fee <br /> 5 Primary commodities)to be mined: Aggregate, sand and gravel 200,000 Tons/yr <br /> 5.1 Incidental coinmoditie(s)to be mined: 1. - lbs/Tojg/yr 2. / lbs/TonsN <br /> 3. / ibs/Tons/vr 4. / lbs/Tons/vr 5. / lbslTons/yr <br /> 5.2 Anticipated end use of primary commodities)to be mined: concrete <br /> 5.3 Anticipated end use of incidental commodities)to be mined: n/a <br />