REV98669

• Permit No: M1974069
• IBM Index Class Name: Revision
• Doc Date: 4/5/1979
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Type & Sequence: HR1
• Media Type: D
• Archive: No

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' STATE OF COLORAI)0 ItI:GULAR (112) PEItM1'1' AL'L'LICA'1'ION 1'ORl1 III IIIIII!IIIIIIIII
~ ~ECEIV L V APPlitation for P1in1„1; an,l
Mined Land Reclamation Board Reclamation Permit, Pursuant
Ucpartment of Natural F.esources
1313 Sherman Street, Room 723
Denver, CO 80203 AP~ _ 5 )i,l~ to
`'

RECLAMAT'IUPJ J~CTION C.1t.S. 1973, 34-32-101 et sc~:
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~°~"'~"rn--~~ :~
~/
TYPE OR ~4f10FP~>S'E~R4y'!'~I fesources .>
1. Name oE~operations Loveland Readv Mix Concrete, Inc.
(Pit, mine, or site name)
2. Name of applicant/operator Mr. George A. Faucher
(Name to be used on permit)
3. Address and pl,o„e number of unt ~ 1~E, P.O. Box 299

local offices __
Loveland, CO 80537 [phone]
4. Address and phone number Same as 3. (above)
of general offices
5. Name and phone number of parson Mr. George A_ Faucher [phone]
or
staff members should. contact Dave Shupe" Eng. with Hogan & Olhausen 629-712
6. Parent Corporation, if any Sdme as 2 and 3. (above)
(Include name b address)
7. Owner(s) n[ record of affected Loveland Ready Mix Concrete, Inc.
land (surface area)
-- - -
(If more than 2, list in Exhibit P) ---
8. Owner(s) of substance to be mined Loveland Reddy MiX COnCrete, InC.
(If more than 2, list in Exhibit P)
9. Source of legal right to enter Notarjzed letter
(Indicate what type of proof is
included in Exhibit 0 - lease, deed,
_ _
notarized letter, etc.)
10. Type of mine b substance to be mined 0 en jt fOr eXtrdCtiOn Of ravel.
~ ~- -- 9
(Specify underground, strip, open pit,
mined)
(
) t
b
t
d
b
t -
--
ance
s
o
e
e
c. an
su
s -
11. General location b elevation (Miles Southwest edge of the Cjty of Loveland,
b direction from nearest town b
ite elevation)
r
i
t Colorado. Elevatjon 4,985 (USGS)
-
app
ox
ma
e s
12. County Larimer
13. Acreage of affected lands
(Total surface acreage to be
cr s __-
included in permit)
1 I
I

14. -
i,pplication fee (See Rule 2 to r
P~4rr,-00---
determine amount)
15. Present land use
)
i
l A ricultural asture)
, etc.
(i.e., agricultural, industr
a
16. Surrounding land use.; Agricultural L Industrial, and Sand
and Gravel pits
17. Proposed future land use Recreation __

(Coal of reclamation) _ _
18. Other mining permits b operations
in Colorado (See Rule 2 for guidance) p~ Mining Permit ~ln 3R iccuad

4-,
November 1~1 191
_
19. _
The lands herein do not affect any of
the lands descri.l,ed in Section
1.56(9), (Specify affirmation) ~
~jgnaturC: r.J_~ F .+
Tz--~
The lands herein ~ not affec any of the ands
-described in_Sec on 1.56(9).