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i'V1-~Zor96 - O JO <br />5TATE OF COLORADO <br />Dry1510N OF RECtAMATiON, MINING AND SAFETY <br />Depattmenl ni Natural Resourres <br />RE~FI"~- <br />1313 Sherman Sl., Room 275 <br />Denver, Colorado 80203 MTV ~ ~ ~ ~o L O R A D O <br />Phone: (303} 8663567 !' tuV v 1 s t o N o f <br />CONSTRCCT(ON ~tA'I'F,RIALS AMATION <br />FAx: (303) 832-8106 RBGOLAR (112) OPERATION DNiSiOf of f2ecla at~tl N 1 NG <br />RF,CLAMATION PER.tIIT APPLICATION FORiN Mlntny dnd S fety SAFETY <br />8itl (Teens <br />Governor <br />CHECK OtiF: There is a Ftlc Number Already Assigned to this Operation R"r,eu eenrRn <br />Permit k M -_-`-,~ (Please rcferenee the file number currently assigned to [his operafft5'H}~"'" Do-ecmr <br />New A lication Rule l.4.5 Amendment A lication (Rule 1.10 R°"'ia w. Grcany <br />- PP ( ) PP ) bivision Director <br />Conversion Application (Rule 1.11) Natural Resource rrusTee <br />Permit tt ~I -` -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Constntdion Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />foan; (2) Exhibits A-S, Addendum 1, any sections of F,xhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed avd notarized ORIGLYAL and one (1) copy of the completed <br />application form, nvo (2) copies ofExhibits A-S, Addendtun t, appropriate sections of6.5 (Geotechnieal Stability Exhibi4 and a check for <br />the application fee described under Section (4j below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 1; 2" X t I" or $ 112" X I4" size. 'fo expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION INFORMATTON <br />Type or print clearly, in the space provided, AI,1, information requested below. <br />Applieant/oucrator or comnanv name (name to be used on permit): LOVeland Ready MIX Concrete Co____ <br />1.1 Type of organization (corporation, partnership, etc.): COrDOratlOn <br />2. Operation name (nit, mine or site Wattle): BOkelman-Walters ~_ ~, , <br />3. Permitted acreaee fnew or existing site): 201 -permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 'fora) acreage in Permit area 20~ acres <br />4. Pecs <br />4.1 New Application _2$ •344.00. application fee <br />4.2 New Quam Application 2 906 00 quarry application <br />4A Amendment Fee _~ 1 938_00 amendment fie <br />4.5 Conversion to 112 operation (set by statute} __~ 344.00 conversion fee <br />5. Primary commoditie(s) to be mined: Sand gravel <br />5.1 Incidental commoditie(s) w be mined: 1. _._N/Q __ _ ____ Ibsr Tons_•'yr 2. ___/ `___ _.ibs:Tonsi <br />3. -~` i __i_ Ibs/Tons/~'r 4. --= IbsiTons!tir <br />5.2 Anticipated end use of primary commoditie(s) to be mined: COnStrUCtlOn <br />5.3 Anticipated end use of incidental rnmmoditic(s) to be mined: N/A_.__ __- __ ...__. ___.._. _. __.__._ .____ _.._ <br />S. _ Ibslfonsvr <br />Urfice oP Office of <br />Mina) Land Redarnation Alive and Inactive .4linrs <br />