2001-03-27_PERMIT FILE - M2001023

• Permit No: M2001023
• IBM Index Class Name: Permit File
• Doc Date: 3/27/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGY 998 RECEIVED
Department of Natural Resources
1313 Sherman St., Room 215
Denver,Colorado 80203 MAR 2 7 2001 D IV IS I O N O F
Phone[phone] CONSTRUCTION MATERIALS M IN E R A L S
FAX.[phone] REGULAR(112)OPERATION `L
Division of Minerals and Geol gZ E O L O G Y
RECLAMATION PERMIT APPLICATION FORM RECLAMATION
MINING.
SAFETY
Bill Owens
CHECK ONE: �,_ There is a File Number Already Assigned to this Operation Governor
r0UO ( — � d Greg E.Watcher
Permit# M - - _ Executive Oireaor
__ (Pleas reference drz file number currently assigned to this operation)
Michael B Long
New Application(Rule 1.4.5) _Amendment Application(Rule 1.10) Division Director
Conversion Application(Rule 1.11)
Permit# M -_ (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parrs:(1)the application form;
(2)Exhibits A-S,Addendum I,any sections of Exhibit 6.5(Geotechnical Stability Exhibit;and(3)the application 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 Exhibits A-S,Addendum 1,appropriate sections of 6.5 (Geotechnical Stability Exhibit,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 1/2"X 14"size. To expedite processing,please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided,all information described below.
I. A Gcant/o erator or con anname name to be used on permit):
o— yM f(lam i cshcL ��vrs Z'!�r e
l.l Type of organization(corporation,partnership,etc J: C o r o
1.2 I.R.S.Tax I.D. No.or Social Securitv Number: C'S'S2 — O .'7 0 c4
2. Operation name(nit,mine or site name): e
3. Permitted acrea¢e(new or existing sit permitted acres
3.1 Change in acreage(+) acres
3.2 Total acreage in Permit area acres
4. Fees:
4.1 New Application $2.344.00 application fee
4.2 New Quarry Application $2,906.00 quarry application
4.4 Amendment Fee $1.938.00 amendment fee
4.5 Conversion to 112 operation(set by statute) $2.344.00 conversion fee
5. Primary commoditie(s)to be mined: -T-e h
S 5.1 Incidental tobemiin o
e�ro/ !bs/fons/vr 2. / Ibs/foos/vr 3. / Ibs/Ions/vr
Zlp� _,rrov-( 4. Ibs/forl 5. / Ibs/Cons/vr /
5.2 Anticipated end use of primary commoditie(s)to be rained: fQn--.4 - iu(-
5.3 Anticipated end use of incidental commoditie(s)to be mined: s'4 ri7 V,