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ens( es~, ~~~'~' Atij -0 3 <br />STATE OF COLORADO <br />DIVISION OF RECLAkvIAT10N, MINING AND SAFETY , <br />Department of Natural Ra_sources v ~ '~ <br />1313 Sherman St., Room 215 F <br />Denver, Colorado 80203 E~rI~ ~~ C O L D R.A D O <br />DIVISION O F <br />Phone: (303) 666-3567 CONSTRUCTION MA'I'F,RIALS SEP A q pO~c RE ~ N TICrON <br />FAX: 1303) 832.8106 RF,GUI,AR (112) OPIiRA770N L I L U <br />Div' ' SAFETY <br />RrCLAMATION PERMIT APPLICATION tflf Reclamatron, <br />ntng and Safety <br />Gill Owens <br />Governor <br />CHECK ONE: ~ There is a File Number Already Assigned to this Operation Russell Geerge <br />Permit # M -,$Q_- 149 -_~Please reference the file nwnber cun~ently assigned to this opera(ldN)"ve naeaor <br />Ronald W. Cattany <br />_ New Applicatimt (Rule 1.4.5) _(7 i Amendment Application (Rule L 10) Division Director <br />Conversion Application (Rule 1.1 I) Natural Resource Trustce <br />Permit kk ~1 - 80 - 149 _ (provide for Amendments and Conversions of existing permits) <br />T'he applicatian for a Consimction Materials Regular 1 l2 Operation Reclamation Perntit contnins three major parts: (1) lire application <br />form; (2) Exhibits A-S, Addendum 1, any sections of F,xhibit 6.5 (Geotechnical Stability Hxhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL. and oue (]) copy of [he completed <br />application form, hvo (2) copies of Exhibits A-S, Addendum 1, npproprinte sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should N01' be bound or in a 3-ring binder; maps should be folded to <br />H 1/2" X 11" or 8 1/2" X 14"size. 'i'o expedite processing, please provide the information in the format and order described in this form. <br />OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALT, information requested below. <br />I. AoplicanUoperatur or comoanv uame (name to be used on oermitl: ___ Weld Count~__~___. ______-~ <br />1.1 'T'ype of organization (corporation, pamtership, etc.): <br />2. Oueratimt name fait, mine or site name,: Hokestra _____-_~~_~_-~-______ <br />3. Permitted acreage (new or existfne sifei: <br />3.1 Chauge iu acreage (+) <br />3.2 "Total acreage in Pemmt area <br />4. F'ces: <br />4.1 New Applicatiou <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />45 Conversiou to 112 operation (set by statute) <br />5. Primary commoditie{sl to be mined: era~el~ <br />S.l htcidental commodities} to be mined: 1. ___,._,_,~"-___-. Ibs/Tons/~ <br />3---- /_____ Rrslf'ons/vr 4._ / Ibs/T'otrslvr <br />permitted acres <br />0 acres <br />120 acres <br />$2.344.Q0 application lee <br />2 06.00 quarry application <br />_1938.00 amendment fee <br />_ . 2 344.00 conversion fee <br />2. -/ -___ _ Ibst 'ons/yr <br />5. / !bsll'ons/vr <br />5.2 Anticipated end use ofprimary commoditie(s) to be mined: __AQ);re>;ate ____ __________ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: W. N[A__-.-.____.....W..__._-_..._-.._-._..._._.._.._._....__ <br />Office of Office n( <br />Mined land Reclamation Active and Inactive Mines <br />