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,.. <br />Y <br />/yl-o2opS-O~U <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1373 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) BfiC.3567 <br />FAX: (303) 832-0106 <br />Imp, ,_ ... T <br />re. <br />nov o ~~ 2005 <br />~icisr„ c. ~: L.....,. ~: 18culap~~ <br />CONSTRUCTION MATERIALS <br />LIMl'I'ED IMPACT (110) OPERATION <br />RECLAMATION PERMTf APPLICATION FORM <br />CHECK ONE: There is a Fr1e Number Already Assigned to this Operation <br />COLORADO <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION•MI NING <br />SA FETY•S LIEN CE <br />aiu Owens <br />Governor <br />Russell George <br />EzeMive Director <br />Ronald W. Caaany <br />Division Director <br />Natual Resource Trustee <br />Permit # M - -_ _ (Please reference the file number clnTently assigned to this operation) <br />x New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Bute 1.1 l) <br />Permit # M -_ _ (provide for Amendments and Converoions of existing permits) <br />The appfica[ion for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, F,xhibitL, Addendum 1, atry sections ofExltibit 6.5 and Geotechnical StabilityF.xhibi; as requucd trythe <br />Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be sure to <br />include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies ofExlubits <br />A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for the application <br />fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 81/2" X 11 " or 812" X 14" <br />size. To expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, ALL information deacnbed beiosv. <br />1. ApDlicanUooeratorormmoanvname(nametobeasedoncermitl: RitchevSr R@di-Mix Concrete, Inc. <br />1.1 Type ofotganizaticn(corporation,pafitership,etc.): Corooration <br />2. Operation name (ak. mine or site Hamel: Krehmeyer Pit <br />3. Permitted acreage (new or ealatin~ aitel: 9.9 permitted acres <br />3.1 Change in acreage (+) p gores <br />3.2 Totai Acreage in Permit Area 9.9 acres <br />4. Fees: <br />4.1 New Application: 1 094. application fee <br />Amendment Fee (C.RS. 34-32.5-125(II)): __ $719.00 application fee <br />_ 4.2 Conversion Fee (from I IOd to 110 87 .00 conversionfee (Rule 1.11.2(2)) <br />5. Primary cemmoditiefsl to be mined: OT~L Sand <br />5.1 Incidental commoditie(s) to be mined: I . / lbslTonslvr 2. / 1bslTonslvr 3. / 1bstTons/vr <br />4. / lbs/fons/vr 5. / ]bs/1'ons/vr <br />5.2 Anticipated end use of primary commoditie(s)tobemined: hiarnrfacture concrete' <br />Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Geological Survey <br />