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I <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />COLOR.A.IJO <br />Denver, Colorado 80203 D I V I s I O N O F <br />Phone: (303) 866-3567 RECLAMATION <br />FAX: (3031832-8106 CONSTRUCTION MATERIALS MINING <br />REGULAR (112) OPERATION SAFETY <br />RECLAINIAT:ION PERMIT APPLICATION FORINI <br />Bill Ritter, Jr. <br />Governor <br />CHECK ONE: -- There is a File Number Already Assigned to this Operation Hams D. Sherman <br />Executive Director <br />Permit ## M - (Please reference the file number currently assigned to this operati9faald W. Catta3y <br />New Application (Rule 1.4.5) X Amendment Application (Rule 1.10) Div i, Director <br />Natural Resource Trustee <br />Conversion Application (Rule 1.11) <br />Permit #E M -_1977: 036_.-__,___ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical 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 1/2" X 11" or 8 1!2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERA'T'ION INFORMATION <br />Type or print clearly, in the space provided, ALI, information requested below. <br />Applicant/operator or company name (name to be used on permit): Lafarge West Inc. <br />1.1 Type of organization (corporation, partnership, etc.): corporation <br />2. Operation name (pit, mine or site name : Greeley 35th Avenue Mine <br />3. Permitted acreage (new or existing, site): 381.38 permitted acres <br />3.1 Change in acreage (•1•) 12.38 acres <br /> RECEIVED <br />3.2 Total acreage in Permit area 369 acres <br />4. Fees: J U L 0 c 2009 <br />4.1 New Application $2,696.00 application fee <br />4.2 New Quarry Application Division of Reclamation, 53,342.00 quarry application <br />4.4 Amendment Fee Mining and Safety $2;229.00.. amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.#96.460_ conversirtr fee <br />5. PriM;Wy commoditig(s) to be mined.- .__ sand _ __. -_gravel -_ __---fill _---- <br />5.1 Incidental commoditie(s) to be mined: 1: ) - ]ems .an._) 1bs-Tons;'ar 2. Ibs1Tons/vr <br /> 3. _ Ibs/Tons/yr 4. lbs;°T'oM.?f 5, lbs./Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: construction materials „_...... 5.3 Anticipated end use of incidental commoditie(s) to be trained: n/a _ <br />Office of Office of <br />Mined Land Reclamation Denver - Grand )unction • Durango Active and Inactive Mines