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e-~s,~°s' ~~~f <br />STATE <br />DIVISION OF MINERALS AND <br />DeIsaMKnt of Natural Resource <br />7313 Shemuut St, Room 21 S <br />Denier, Colorado 80203 <br />Wwae: (303) 8663567 <br />FA%:1303) 832~t1106 <br />~J~'~2/ <br />~~~..Tw,7~ /,W <br />)r.... m <br />wa~n>va,3~~ppl L- <br />.,, gaiety <br />am owe;a <br />eaven,or <br />011E~~_ OAI 7CXX 1Lete b a FDe Piamba Ahsady Aa>18ned bo th6 Operatbn ~i ~' <br />Permit # ~,- 7 7 • 24 7 -(please 7eferma the 51e mm~ber cummtly assigned to fbis opa~afian) 6,acwve a~aa <br />aoaau w. cru~y <br />New Appliwtien (Rule 1.4.5) _l~ Ammdmead A~licatim (Rule 1.10) ~~„ q~ <br />Conveaabn Application (Rule 1.11) ~-'~' Naaral Reoiara Truaea <br />Permit# ~= 77 _ 247 __ (~~~AmendmeiabmdComeniooaope~oslmg Pte) <br />The appliaatiea far a Caostruetim MauaialaRegnlar 112 OperetionReolematim Permit cantaim three majarparts: (1) the applioetionfarxq <br />(2)ExhtbiUA-S.Addeodunnl,aaysediansafSxla'bit6.5(OeoteeLouxl3tab77ityEadtibifiand(3)lheepplicstianEx. Whmyuuaubmityaur <br />epplicatieq bcametoinclude one (1) andaoe (1) eopycfibe completed appliatimfomo,two(2) <br />copies ofExhtbitsA-S,Addaadtma 1, appropriate aedioos x2'6.5 (Oeatec]micel Stabt7ityF.xhibit, and a chxkforthe application foe deaca'bed <br />rmda8eexion(4)below Extu'bitsafia~ld~f6ebamdorina3-ringbinda~,mepsahoaldbefoldedw8l/Z'XII'or81/1'X14`aiaaTo <br />eapediteprocesaing, please provide the informatim in tha facmat and order deson-bedm this fmm. <br />OENFRAL OPERAT10N1NFORMATION <br />17Pe orprhai eleasi~, ra the apex provWed,~ lafarmatbn equated bebw <br />2 ..- <br />1. ~,pgheant/ooerator or cemoaoo name (eama tb be mad on uermitl: ~ I' Hol cam (U S) , Inc . <br />1.1 Typeafarganizatim(mrporatiagpertnerahip,etc.): Corporation <br />2. Oneratloename(ok.mhteortkena~l: Coaldale Quarry <br />3. ]Permitted aereaaa (new or e:btlnr aka): <br />3.1 Chmge in aereege (+) <br />3.2 Total aaeage in Permit area ' <br />4. ~; <br />4.1 Ncw Application <br />4.2 NewQus<tyApplicatiaa <br />4.4 AmmdtamtFee <br />4.5 Conversion to 1 !2 operation (aet by statute) <br />5. Pzisaarv mmmodltie(il tb be mined: Gw sum <br />5.1 hsctidwtel commoditie(s) tb be mined: 1. NA - lbs/fons/vr <br />3. NA / lbs/1'ons/vr 4. NA / lbs/fonshr <br />81.79 pumittedecres <br />aaea <br />52344.00 application fee ' <br />52.906.00 4~YaPPli~~ <br />51.938.00 amradment fee <br />52344.00 converaienfoe <br />2. NA ! lbsll'ons/vr <br />5. NA / Ibs/fona/vr <br />5.2 Antiapatodeaduseofprimmyce®moditie(a)tobemined: Cement Manu:acturinc; <br />5.3 e4nCcipated end use of iacidentel stie(s) to be mined: NA <br />