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<br />DIVISION OF MINERALS AND GEOLOGY <br />Deparlmem of Nalunl Re>ources <br />1 71.1 Sherman SL. Room ? 15 <br />Denver, Colorado HU1U} <br />Phone: f}U}) n66-}.567 <br />FAY'. (}oA n}b8166 <br />• III IIIIIIIIIIIIIIII <br />999 <br />OF COLORADO <br />RECEIVED <br />CONSTRUCTION MATERIALS <br />REGULAR(112)OPERATION OCT 12 1999 <br />RECLAMATION PERMIT APPLICATION FOR , <br />atllston of lll~nerab 8 Geology <br />~\~ <br />D 1 VISION O F <br />MINERALSI <br />I <br />GEOLOGY <br />RECLAMATION' <br />MININ G•SAFETY <br />Bill Owens <br />Governor <br />C.eg E. Walc6cr <br />ExecWwe Dbenor <br />CHECK ONE: New A lication Rule 1.4.5 Amendment A lication Rule I.IO(~ cnael u Lnnl; <br />PP ( ) PP ( Dwision Direcmr <br />R Conversion Application (Rule I.l 1) <br />Permit # M - 79 - 192 .! (provide for Amendments and Conversions of existing permits) <br />The applicaion for a Conswction Mazerials Regular 112 Operation Reclamation Permit contains three major parts: (l) the application form; <br />(2) Exhibits A-S, Addenduun 1, arty sections of Exhibit 6.5 (Geotechnical Sability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (I) complete sieved and notarized IVORY ORIGWAL and four (4) copies of the completed Ivy <br />application form, five (5) 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 I l" or 8 IR" 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, io the space provided, ALI information requested below- <br />Applinnt/~ratororcomnanvname(nametobeusedoooermitl:Pete Lien 6 Sons, Inc dba Trans-Colorado <br />oncrete <br />1.1 Typeoforganization(corporation,partnership,etc.): Corporation <br />1 ~ I.R.S. Tax I.D. No. or Social Securiry Number: <br />2. OpeptlOn na ml~plt. mine Or Slte name): <br />3. Permitted acreat!e (aew or e:istioE sitel: <br />3.l Change in acreage (+) <br />3.2 Total acreage in Permit area <br />otted Burro Pit <br />4. Fees: <br />4.1 New Application <br />4,2 New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Fee <br />43 Conversion to 112 operation (set by statute) <br />5. Primary commoditiefsl to be mined: Sand Gravel <br />S.l incidental commoditie(s) to be mined: 1. - Ibslf ons/vr <br />3. / Ibslfons/vr 4. / Ibs/Tons(vr <br />53.907 permitted acres <br />acres <br />53.907 acres <br />51.875.00 application fee <br />52.325.00 quarry application; <br />33.100.00 milling application <br />31.550.00 amendment fee <br />I 75.00 conversion fee <br />~ / Ibs/fons/vr <br />5. ! Ibslfonslvr <br />5.2 Anticipated end use of primary commoditie(s) [o be mined: Construction Aeereeate <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />