PERMFILE41717

• Permit No: M2000082
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 RECLAMATION PERMIT APPLICATION EAST 8TH STREET OPERATION GREELEY COLO
• Media Type: D
• Archive: No

DIVISION OF MINERALS AND GEOLOGY
Departmem of Natural Resources
131 }Sherman SL, Rnom ~ 15
Denver, p>bmdo 40203
Phune: 13031 d6G-7567
FAX.1103)d32-4106
~~8~
)F COLORADO
R~CFIVE~
~~
Of VISION OFI
MINERALSi
GEOLOGY
RECLAMATION
MINING•SAFETY
CONSTRUCTION MATERIALS JU~ ~ ,1 ZOOq r
REGULAR (112) OPERATIONDiVi5i0001(')'IOela15~-GBOIp~S1
RECLAMATION PERMIT APPLICATION FORM
Bill Owens
Governor
Greg E. Watcher
Eaecuuve Director
CHECK ONE: ~ New A lication Rule 1.4.5 , Amendment A lication (Rule 1.10Ml chael B. Lonq
PP ( ) PP Urvlsion D"Ktor
`Cron~version Application (Rule I.l l)
Permit # M~LM~~a (provide for Amendments and Convenions of existing permits)
The application for a Cotlswction Materials Regular 112 Operation Reclamation Permit contains three major parrs: (I) the application form;
(2) Exhibits A-S, Addendtan 1, any sections ofExhibit6.5 (Geetechnical Stability Exhibit; and (3) the appliation fee. When you submit your
application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL and four (4) copies of the completed Ivory
application form, five (5) copies of Exhbits A-S, Addendum 1, appropriate secrions of 6.5 (Geotechnical Subiliry Exhibir, and a check for
the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to
8 1!2" X 1 I" or 8 1 R" X 14" size. To expedite processing, please provide the information in the former and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, io the space provided, ALL intf~orJmt~ati/onlrcg 1oeste1d bebw-
CAv~AS tO~OrwfOrr•~.I.a.
1. Apofieant/ogeretor or comosnv name (Dame to be used o0 oermFtl: Act a..~._ ~ .. ~..~c~c;tr ~~
l.i Type of organization (corporation, parmership, etc.): ~Pu~.i:o.n ~~~"
1.2 I.R.S. Tax I.D. No. or Social Security Number:
2. Ooerstion name f nit. mine or site name):
3. Permitted acrcaee fnew or e:istin¢ site):
3.1 Change in acreage (+)
3.2 Total acreage in Permit area
~_ permitted acres
G.d acres
(n °~•~ acres
4. Fees:
4.1 New Application
4.2 New Quarry Application
4.3 Milling Application (Non-DMO)
4.4 Amendment Fee
4.5 Conversion to I l2 operation (set by statute)
5. Primary commoditiersl to be mined: ~.~ I~• ~.l
51.875.00 application fee
52.325.00 quarry application
53.100.00 milling application
51.550.00 amendment fee
51.875.00 conversion fee
5.1 Incidental commoditie(s) to be mined: I.N~~.r.~ - IL.sao Ibs/fons/vr 2Qlv~.KaL. `1~ f0°Ibs/Tons/vr
3. / Ibs/fons/vr 4. / Ibs/fons/vr 5. ! Ibsrl'ons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: ~r,AC~v~c~r„n /'4,{~,r:als,
5.3 Anticipated end use of incidental commoditie(s) to be mined: ~w~aw.tk:o,n