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STATE OF COLORADO <br />DIVtS10N CrF R~CI.AMIATIOIV, MINING AND SAFETY <br />Department. of Natural Resources <br />1313 Sherman 5t., Room 215 <br />Denver, Colorado 802Q3 .. D O L Ot R N QO <br />Phone: (303) 666.3567 CON51'I2I1CT'ION MA'I'EItIAL5 RECLAMATION <br />r•,ax:13a3) 832-81 ob REGULAR (112) OI'Lt'IiA1'IOl'd MINING <br />-&- <br />RICCLA1ti1ATI.ON PI:RM.I1' APPLICATION P'OI2M SAFETY <br />tiitl Owens <br />Govemnr <br />CII.EC;K ONI.: ~_ There is a File Number Already Assigned to this Operation Russell Gr:orge <br />Permit # ~'~t '/.~ Please reference the file number cun•ently assigned to this opera~ff~'vo Director <br />Ronald W. Catt;any <br />New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) Division Director <br />__ Comrersion Application (Rule 1.11) Nanirai Rr~ource Trustee <br />Permit # M , 8C1 - 149 _ (provide for Anrendnlerrts and Conversions of existing permits) <br />The application for a Constutrction. M.a.terials Regular 112 Operation Reclamation Pelxni.r contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendwn '1, any sections of l;xhibit 6.5 (Geotechnica] Stability Exhibit; and (3) the application fee. When you <br />submit your application., be sure to include one (1) complete sued and notarized ORIGINAI, and one (l) copy of the completed <br />application form, ttva (2) copies of Exhibits A-S, Addendunll, appropriate sections of 6.5 (Geoteehnical5tability Exhibit, and a checkfor <br />the application fee described under Section (4) below. Exllibils should NOT be bound oz iu a 3-ring hinder; maps should. be folded to <br />$ 1/2" X I I" or 8 1/2" X 14" size. 'I'o expedite processing, please provide d1e information in the format and order described in this form. <br />GENERAI.OPERATION INFORMATION . <br />Type or print dearly, irr the space provided, ALL information requested below, <br />1. Annlicant/operator or company name {name to be used on permit]: ______Weld Count~,_•__ ___________•__~_._.__.._._~ <br />1.1 Type of organization (corporation, partnership, etc.): Public <br />2. Operation name (nit, mice or site uame~: Hokestra _____________________.~_____.____..___..._~~.._.__._....- <br />3. Permitted acreal~e (new or existing; site): <br />3.1 Change in acreal;e (-~-) <br />3.2 ".Coral acreal;e i1~ Permit area <br />,~„_,__ permitted acres <br />0 ___ acres <br />17 2 acres <br />F1. Fees: <br />4. I <br />I'~lew Application <br />_ 2~ ,344.00 _ <br />applicatiota iee <br />4.2 New Quarry Appl.ica.rion 2 90C,QQ quarry application <br />4.4 Amendment ree _~.1 938_00 amendment fe;c <br />4.5 C~onversiorl to I l2 operatiola (set by statute) __~ 344.00 „ conversion fee <br />5. Primar comrnoditie s to Ue mined: _~zel <br />S.1 Inciden.tal ccirnmoditie(s) to be mined: 1 . .................... ___.,._.••,._.._lhs%~I:gns(~ <br /> <br />4. _-_ / ibs/Tons/~r <br />5. _ / lbs/Pons/}rr <br />5.2 Anticipated end use of primary commodirie(sj to be mined: __Aggregate ____..____,__J___________.._.....__ <br />5.3 Anticipated end rrse of incidental commodi.tie(s) io be mined; _w„_ N~A_..._..._._..__.....__.__.m___.._._..._.._._......_~._..._._...._._ _. <br />__ <br />C)ffice~ of ~ Office of <br />Mined Land Reclamation Active and Inactive Mines <br />