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~~t ~~'~~ Su,bm~+I~l <br />~~1 <br />~/~ti <br />/N ~70~6 - d d'o t--- <br />V STATE OF COLORADO <br />DIVISION OF RECIAMAAON, MINING AND SAEETY/ <br />Department of Natural Rr_sources <br />1373 Sherman 57., Room 27S RE(`F!V!c <br />Denver, Colorado 80203 / Hw ~~ n~ ~o C O R A D O <br />Phone: 13031 8663567 ,(`It CONSTRGCTION S1A'I'F.RIALS "n! v " r o ^' o r <br />FAX: (303) 832-8706 GAP AMATION <br />REG(iLAR (112) OPERATION DIV1610n of Recl~ 0 1 t N I NG <br />e~5 ~5 i RF,CI,AMATION PERMIT APPLICATION FOR'N Mlnin>, dnd S fety SA ETA' - <br />Bill cTcfns <br />Governor <br />CIIECK ONE: There is a Fitc Number Already Assigned to this Operation <br />Russell Georxe <br />Permit # M -_ _ ~ (Please reference the file number currently assibmed to this operatl~f~"'" Do-ecror <br />New A lication Rule 1.4.5 Amendment A lica[ion (Rule 1.10 Ronald ~Y. Cottony <br />PP ( ) ~ PP ) Division Direpor <br />,Conversion Application (Rule 1.11) Hamr,i Resource trustee <br />Permit tl ~1 -^ -_ (provide for Amendments and Conversions of existing permits) <br />The application for a Consuvction Materials Regular 1 l2 Operation Reclamation Pemtit contains three major parts: (1) the application <br />form; (2) Exhibits A•S, Addendum 1, any sections of Exhibit 6.5 (Geofechnical Stability F,xhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (I) comolete sietted and notarized ORIGINAL, and one (1) copy of the completed <br />application form, nvo (2) copies of Exhibits A-S, Addendwn 1, appropriate sections of6.5 (Geatechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 i; 2" X i 1" or 8 1/2" X i4" size, '1'o expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION h~TFURMATION <br />Type or print clearly, in the space provided, AI,L information requested below. <br />Y~~- <br />I. AoHlicanUooerator or comnanvname (name to he used on Hermit): LO_ Ve(and Rt:ady MIX_C__O_nCfete CO_. `~' _ <br />1,1 Type of organization (corporation, partnership, etc.>: COf00fatl0n i ` <br />2. Operation name fait, mine or site name): Bokelman-Waltefs <br />3. Permitted acreat=.e (new or existintt site): 2~1 permitted acres <br />3.1 C7hange in acreage (+) _ acres <br />3.2 'total acreage in Permit area 2~1 acres <br />4. Fees : <br />4.1 New Application $2,344.00 applieationfee - <br />4.2 Flew Quarry Application 2 90(1.00 quarry application <br />4.4 Amendmem Fee ~l 938.00 amendment fee <br />4.5 Conversion to 112 operation (sel by statute) _:~2 344.00 com~ersion fee <br />5. Primary commoditie(s1 to be mined: Sand grave( <br />5. I Incidental commoditie(s) [o be mined: 1. __N/A =_ _, _. ___ _IbvTons/x 2. ~_! ______ ._ Ibsi"I'onsivr <br /> 3. ______ i _______ lbs~fons/vr 4. ___ 1 IbsPi'om'/~i 5. ___ Ibsr Pons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: COnStfU_CtIOn ^_ __ _- __t._ <br />5.3 Anticipated end use of incidental commnditir(s) fo he mined: N/A __ _ ` _ <br />~~Zc <br />Office of Office of <br />Mined Land Reclamation _ _ Active and Iwrtive.4lim•> <br />