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l, 938, 00 <br />our t 4 2ooZ STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY ~~~AE1~1E® <br />Department of Natural Resources RECEIVE® `,~~, <br />1313 Sherman St., Room 215 r`U-„t <br />Denver, Colorado 80203 AUG 2 Q <br />Phone: (303)866-3567 Division of dinerals and Gealagy <br />FAX: {303) 832-8106 <br />Division of Minerals end Geology <br />CONSTRUCTION IVf_ATERL4L5 <br />REGULAR (112) OPER4TION <br />RECLAbtATION PERMIT APPLICATION FORM <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />R EC LAn ATION <br />nINING•SAFETY <br />Bill pwens <br />Gocemor <br />Greg E. Walther <br />Executive Director <br />CHECK ONE: _ New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) Michael B. Lpnc <br />Division Director <br />-Conversion Application (Rule 1.11) <br />Perini[ p M - 77 - 341 - (provide for Amendments and Conversions ofezisting permits) <br />The application for a Constnlction Materials Regular 112 Operation Reclamation Permit contains three major parts: (q [he application form: <br />(2) Exhibits A-S, Addendtm I, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit); and (3) the application fee. R~hen you submit your <br />application, be sure to include one (l) complete sierted and notarized IVORY ORIGINAL and fora (4) copies of the completed h'on' <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 65 (Geotechnual Stabilin~ Exhibit), and a check For the <br />application fee described under Section (4) bzlocv. Exhibits should NOT be bound or in a 3-ring binds: maps should be folded to 8 1/2" ti l I" <br />or 8 1/2" X l1" size. To expedite processing, phase provide the information in the format and order described in this forth. <br />GENERAL OPERATION NFO[L~L4TION <br />Type or print clearly, in the space provided, ALL information requested below. <br />Applicant/onentor or company name (name to be used on ^ermitl: Holcim (LIST In: tformerlc Holnam Inc 1 <br />1.1 T}pe of organization (coryoratiop, pattrxersttip, etc.): <br />l2 LR.S. Tax LD. No. or Social Securin~ Number. <br /> <br />1: <br />// Portland Limestone Quarry <br />Operation name (pit. mine or site namAC: ~_, <br />Permitted acreaoe (new or existino site): <br />3, l Change in acrzaee (+) <br />-.? Total acaaee in Pemtit ara <br />Fees: <br />1. I Ne~c Applicatior. <br />12 Ne.c Quvn~ Application <br />4 ~ Amendment Fe: <br />1.5 Conversion to l L operation (set by statute) <br />1232 permitted arzs <br />71 acres <br />;. <br />Primary tommoditiefsl to be mined: Limestone <br />5. ( Incidental commodities(s) to be mined: I. sandstone! 9.000 -ibs/Tonshr <br />3. / !bs/Tonshr 1. / IbslConshr <br />I~0( acres <br />S?._?4.00 application ice <br />S2.9D6.OD quam~applicatior. <br />51933.OQ amendment fx <br />S?.011.00 conversion fa <br />2 / Ibslfon;hr <br />i. / Ibs/fonshr <br />~? Anticipated end use of priman~ commoditie(s) to be mined: production of cement <br />~.0 Anticipated end use of incidental commoditie(s) to be mined: production of cement <br />