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1111 ~~~~~~~~ ~ RECEIVED <br />999 <br />nn MAR_ 2.0 2001 ~^~~-~-E OF <br />DIVISION OF MINERALS AND GEOIV~`~ion a III III'IIIII,III'll <br />Department of Natural Resources 999 <br />1313 Sherman St., Room '_1S <br />Denver, Colorado 80203 <br />Phone: (303) 866-3667 CONSTRUCTION MATERIALS <br />FA;(. (3031 83 2-81 06 REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />~~ <br />DIVISION O r <br />MINERALS' <br />GEOLOGI <br />RECLAM 4T1 O r: <br />MINING•SAFETY <br />Bill Owens <br />Governor <br />CFIECK ONE: There is a File Number Already Assigned to this Operation Greg E. Walther <br />Permit # M -~-0_~-_ (Please reference the file number currently assigned to this operation) Execurrve Director <br />Michael 8. long <br />_~ New Application (Rule 1 A.5) _ Amendment Application (Rule 1.10) Di,,.:ion oireaor <br />Conversion Application (Rule 1.11) <br />Petmif # M -_ ~ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form: <br />(2) Exfubits A-S, Addendtrm I, any sections of Exhibit 6.5 (CROtechnical Stability Exhrbit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete siffied and notarized NORY ORIGINAL and four (4) copies of the completed No <br />application form, five (5) copies of Exhibits A-S, Addendtun I, 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 I/2" X 11" or 8 I/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 />Type or print clearly, in the space provided, all information described below. <br />I. AppGcanUooerator or rnmoanv name (name to be used o0 oetmkl: <br />Loveland Readv Mix Concrete, Inc. <br />1.1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 I.RS. Tax I.D. No. or Social Security Number: <br />2. Operation name(ok,mineorskenamel: Green/Croissant Property Sand and Gravel I•]ine <br /> <br />3. Permitted acreaee (new or eaistintt site): 210 <br />permitted acres <br />3.1 Chavge in acreage (+) acres <br />3.2 Total acreage in Permit area 210 acres <br />4. Fees: <br />4.l New Application $2.344.00 application fee <br />4.2 New Quarry Application $2.906.00 quarry application <br />4.4 Amendment Fee $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.344.00 conversion fee <br />Primary rnmmoditie(sl to be mined: S D C3 <br />5 I Incidental commoditie(s) to be mined: 1. / Ibs/Coas/vr 2. / Ibslfons/vr 3. / Ibs/1'ons/vr <br />4. / Ibs/fons/yr 5. / lbs?ons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />~rvl d-cral - o as <br />;eat y ~~s <br />~ a,3~.o0 <br />COLORADO <br /> <br />