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ECEIVED <br />AUG 2 ~ 2002 'l <br />of <br />~,~ 7a3-r <br />~l, 938, 00 <br />STATE OF COLORADO <br /> ~i E C E I V E D <br />DMStON OF MINERALS AND GEOLOGY <br />Deparhnent of NaWral Resources <br /> <br />133 Sherman St., Room 215 r ° n ' 1 2007 <br />~~J"+lt <br />o I v I s I o N o f <br />Darner, Cobrado 80203 MINERAL S <br />Phorre: (303)866-3561 i7ivision of Minerals and Geology & <br />FAX: (3031832Ai06 G E O L O G Y <br /> REC LANATION <br /> <br />CONSTRUCTION MATERIALS MINING•SAFETY <br /> ~ <br /> REGULAR (112) OPERATION Bill Owens <br />RECLAMATION PERMIT APPLICATION FORM Governor <br />Greg E. Welcher <br />Executive Director <br />CHECK ONE: New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) Miclrael B. i,ong <br />Division Llirector <br />-Conversion Application (Rule 1.11) <br />Pemrit # M - 77 - 344 - (provide for Amendments and Conversions of existing permits) <br />The application for a Cons[mction Materials Regular l l2 Operation Reclamation Permit contains three major pans: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotcehnical Stability Exhibit); and (3) the application fee. When you submit your <br />application, be sure to include one (I) complete sieved and notarized IVORY ORIGINAL and four (4) espies of the wmpleted Ivy <br />application form, five (5) copies of Exhibits A-S, Addendum I, appropriate sections of 6.5 (Geo[echnical Stability Exhibit), and a check for the <br />application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 ]!2" X 11" <br />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 />Type or print clearly, in the space provided, ALL information requested below. <br />I. AoulicanUooerator or company name (name to be used on nermitl: Holcim (USl Inc (formerly Holnam. Inc.) <br />].1 Type of organization (corporation, partnership, etc.): Corporation <br />1.2 LR.S. Tax LD. No. or Social Security Number: <br />`` Portland Limestone Quarry <br />2. Ocerafion name (oi[, mine or site namN: R' •w - ~_,___ ,_ <br />~3.- Permitted acreaee (new or eaistin¢ site): 1232 permitted acres <br />3.1 Change in acreage (+) 74 acres <br />3.2 Total acreage m Permit area 1306 acres <br />4:, Fees: <br />4.1 New Application $2,344.00 application fee <br />4.2 New Quarry Application $2.906.00 query 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 />5. Primary commoditie(s) to be mined: Limestone <br />5. t Incidental commodities(s) to be mined: 1. sandstone/ 95.000 -Ibs/Tons/vr 2. / Ibs/Tons/vr <br />3. / Ibs/T'ons/vr 4. / Ibs/Tons/vr 5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: production of cement <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: production of cement <br />