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V <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 V <br /> Th' EW <br /> E <br /> D <br /> COLO A <br /> D <br /> O <br /> Denver,Colorado 80203 A <br /> � DIVISION or <br /> Phone:(303)866-3567 - RECLAMATtON <br /> FAX:(303)832-8106 �� <br /> I* : , IED 110 251016 A <br /> I*NO VIOLATIONS S <br /> CONSTRICTION MATERIAL� <br /> REGULAR(112)OPERATIONIINNOfiDSR °14 <br /> DiViRECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:El There is a File Number Already Assigned to this Operation <br /> Permit \t - - (Please reference the the number currently assigned to this operation) <br /> 11 New Application(Rule 1.4.5) FT_Amendment Application(Rule 1.10) <br /> DConversion Application(Rule 1.11) <br /> Permit ' \i1989 -02�- (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (I)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, he sure to include one (1) complete signed and notarized ORIGINAL and one (I) copy of the completed <br /> application form.two(2)copies of Exhibits A-S,Addendum I.appropriate sections of 6.5(Geotechnical Stability Exhibit,and a check for <br /> the application fee described tinder Section(4)below. Exhibits should NOT he hound or in a 3-ring hinder: maps should he tblded to <br /> 8 1/2" X I I"or 3 1 2"X 14"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 space provided,ALL information requested below. <br /> I. Applicant/operator or company name(name to be used on permit): Aggregate Industries-WCR, Inc. <br /> 1.1 Type of organization(corporation. partnership.etc.): corporation <br /> 2. Operation name(pit, mine or site name): Longmont Distel Operation <br /> 3. Permitted acreage(new or existing sitet: 712.00 permitted acres <br /> 3.1 Change in acreage(+) 0 acres <br /> 3.2 Total acreage in Permit area 712.00 acres <br /> 4. Fees: <br /> 4.1 New Application $2.696.00 application fee <br /> 4.2 New Quarry Application S3 342.00 c uarry a lication <br /> 4.4 Amendment Fee S2.229.00 amendment fee <br /> 4.5 Conversion to 112 operation(set by statute) S2.696.00 conversion lee <br /> 5. Primary commoditie(s)to be mined: <br /> sand gravel <br /> 5.1 Incidental commoditie(s)to he mined: 1. - lbs Fons.‘r 2. IhsTutts r <br /> 3. IbsTons'vr 4. lbs Tons(vr 5. IbsTons'vr <br /> 5.2 Anticipated end use of primary commoditie(s)to he mined: construction materials <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: <br /> g- <br />