PERMFILE57072

• Permit No: M2003037
• IBM Index Class Name: Permit File
• Doc Date: 5/12/2003
• Doc Name: Permit Application
• From: Haldorson and Sons Inc
• To: DMG
• Media Type: D
• Archive: No

La~pf- 987! .D'a,3rl~(•oO
OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman SL, Roam 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
FILE
a~®
MAY 122003 /
DivisianofMineralsandgeologl fiE~;;~sw°'`=
DIVISION O F
MINERALS
CONSTRUCTION MATERIALS RECLAMATION
~~P~ ~_
MAY ~ it 2w~3 MI NING•SA FE7Y
~~~.vwo® REGULAR (112) OPERATION /
N ~/IRLQ~®CLAMATION PERMIT APPLICATION FORM Division of Mineral,,,,,,, „comgy~~an~
Greg E. Walther
Executive Director
CHECK ONE: ~ New Application (Rule 1.4.5) _ Amendment Application (Rule 1.1 Ichael B. Long
ivizion Director
Conrv~ersion Appalic-a7tion Rule 1.11)
Permit # M - 2D~3 r o ~-? 1 (provide for Amendments and Conversions of existing permits)
The application for a Construction lYiaterials Regulaz 112 Operation Reclamation Permit contains threemajorpazts: (1) the application form;
(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechttical StabilityExhibit; and (3) the application fee. When you submit your
application, be sure to include one (1) comHle[e siened and notarized IVORY ORIGINAL and four (4) copies of the completed Ivorv
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
Type or print clearly, in the space provided, ALL information requested below.
1. AHHlicant/ooerator or comuanv name (name to be used on Hermit): ~~_,-~~„ a„A Snnc, Tnc.
1.1 Type of organization (corporation, paztnership, etc.): Corporation
1.2 I.R.S. Tax I.D. No. or Social Security Number:
2. Operation name (Hit, mine or site Hamel:
3. Permitted acrease (new or existine site):
3.1 Change in acreage (+)
3.2 Total acreage in Permit azea
4. Fees:
4.1 New Application
4.2 New Quarry Application
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
son Sand and Gravel Mine
1~6 permitted acres
0 acres
156 acres
$2.344.00 application fee
$2.906.00 quarry application
$1.938.00 amendment fee
$2,344.00 conversion fee
5. Primary commoditie(s) to be mined: sand gravel
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr
3. / lbs/Tons/vr 4. / lbs/Tons/vr
2. / lbs/Tons/vr
5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: construction aggregate
5.3 Anticipated end use of incidental commoditie(s) to be mined:None anticipated.