PERMFILE53562

• Permit No: M1997014
• IBM Index Class Name: Permit File
• Doc Date: 2/25/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

DIVISION OF MINERALS AND GEOLOGY
Depanmenl of Natural Resources
1313 Sherman 51., Room 21 ~
Dem•er. Colorado 80203
Phone: [phone]
FAX:[phone]
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III III III IIIIIII III J
999
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OF COLORADO
CON§TRi7CTION ~ ~MATHRIAL~S~
RHGIILAR OPERATION (112)
RHCLANATION PHRMIT APPLICATION FORM
~~"~- ~~
`~ / ~j DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
lames 5. Lochhead
Executive DIreCIO!
Michael 8. Long
Division Director
CHECK ONE: Y~YY New Application (Rule 1.4.5) Amendmeat Application (Rule 1.10)
Coaversion Application (Rule 1.11)
Permit # _- - -_ (provide for Amendments and Conversions of
existing permits)
The application for a Regular 112 Operation Reclamation Permit contains three major parts: (1)
the application form; (2) Exhibits A-S, Addendum 1, 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
ivo 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 11"
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===~=f~ m~ - C I~~ ___=______
Type or print clearly in the space provided the information requested below.
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1. Applicant/operator or companv name (name to be used on permit):
Deer Creek Quarry, Inc.
1. 1 Type of organization (corporation, partnership,
orporatlon
etc.):
1. 2 I.R.S. Tax I.D. No. or Social Security Number: aPPlied fOr
2. Op eration name (pit, mine or site name): Dear Creek Q uarry
3. Permitted acreage (new or existing site) ~D permitted acres
3. 1 Change in acreage (+ or -) acres
3. 2 Total acreage in Permit area 7~- acres
4. Fees:
4. 1 New Application 51,875.00 application fee
4. 2 New Quarry Application XXXX 52.325.00 quarry application
4. 3 Milling Application (Non-DMO) 53,100.00 milling application
4. 4 Amendment Fee 51.550.00 amendment fee
4. 5 Conversion to 112 operation (set by statute) S1,875.00 conversion fee
5. Primary commoditie( s) to be mined: rriic horl rnr4 r___~___n n^c _+r~:CtiOn ma tarial ~9rA nitp
5.1 Incidental commoditie(s) to be mined: 1. n/d lbs/Tons/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Cn nctriirtinn rutarial
5.3 Anticipated end use of incidental commoditie(s) to be mined: n/a