PERMFILE57026

• Permit No: M1996052
• IBM Index Class Name: Permit File
• Doc Date: 7/18/1996
• Doc Name: REGULAR 112 PERMIT APPLICATION OWENS BROTHERS CONCRETE CO WELD COUNTY COLO
• From: AGRA EARTH & ENVIRONMENTAL
• To: DMG
• Media Type: D
• Archive: No

TATE 0~::yLORADO
DIVISION OF MINERALS AND GEOLOGY M /i~
Department of Natural Resources ~ R L- ~')- } t ~ c.. I ~ ~"4(
~ L_ v. t,.
1313 Sherman 51., Room 215
Denver, Colorado 80203 ~{ ~ ~ + ` s
Phone: [phone]'4'ul~
FAX: [phone] ~IVISIOn DEPARTMENT OF
of i/inera;; s u~~, ~y NATURAL
coxsTRUCxxoM MATB1tIALS _ RESOURCES
REGULAR OPERATION (112)
Roy Romer
RECLAMATION PBRMIT APPLICATION FORM Governor
lames 5. Lochhead
Evecurive D~recror
Michael B. Long
Orvision Director
CHECK ONE: x~ New Application (Rule 1.4.5) Aaead>veat Application (Rule 1.10)
Coavercioa Application (Rule 1.11)
Permit ~ - -_ (provide for Aseadnents 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
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 11"
or 8 1/2" X 14" size. To expedite processing, please provide the informations }n a fo at and
order described in this form. (/( /( ~~ ~n~~
GENERAL OPERATION INFORMATION K~-C-~ 6 U
Type or print clearly in the space provided the information requested below.
1. Applicant/operator or company name (name to be used on permit):
1.1 T of or anization cor ration artnershi COI' 01'dt10ll
YPe 4 ( P° P Pr etcr~.~)/~ P
1.2 I.R.S. Tax I.D. No. or Social Security Number: l3 7 - O.J 7b~~ D
2. Operation name (pit, mine or site name): Del CominO $dnd and Grdvel Mine
3. Permitted acreace (new ;p1(?k1/d.lf0(167t~C Bite) 105 permitted acres
3.1 Change in acreage (+ or -) acres
3.2 Total acreage in Permit area 105 acres
4. Fees:
4.1 New Application 51.875.00 application fee
4.2 New Quarry Application 52,325.00 quarry application
4.3 Milling Application (Non-DHO) 53,100.00 milling application
4.4 Amendment Pee 51,550.00 amendment fee
4.5 Conversion to 112 operation (set by statute) 51,875.00 conversion fee
5. Primary commoditie(sl to be mined: Sand Gravel
5.1 Incidental commoditie(s) to be mined: 1. N/A - lbs/Tons/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tone/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: COIICI'ete Aggregate
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A