PERMFILE61504

• Permit No: M1996049
• IBM Index Class Name: Permit File
• Doc Date: 6/25/1996
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMTION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

; _ • 111IIIIIIIIIIIIIIII
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Rewurces R F r F I VE D
1313 Sherman SL, Ruom 215 ~141N 2 5 1996 ~~~
Denver, Colorado 80203
Phone: [phone]
FA%:13031832-8106 C11V1816tl tll MlFiyrdl5 d Oo'uid59 DEPARTMENT OF
NATURAL
CONSTRUCTION NATERIALS RESOURCES
R8GUL71R OPERATION (112 ) Roy Rene.
RECLAMATION PBRNIT APPLICATION FORK Gwerrgr
. lames 5. Lochhead
E.ecutive Director
Michael B. Long
Division Dlrpct0!
CNECX ONE: XX New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion 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) gomolete eioned and notarised IVORY ORIGINAL and four (4) copies of the completed
~p~y application form, five (5) copies of 8xhibite A-S, Addendum 1, appropriate sections of 6.5
(Geotechnical Stability 8xhibit, 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" sire. To expedite processing, please provide then nformat on in the format and
order described in this form. ~ _ `7~ _~
GENERAL OPERATION INFORMATION
Type or print clearly in the apace provided the information requested below.
iOiifiYiiiiiiiii fii i ii tiiiiiiiitiiiiitiiiiiiifiiiiiii iiitiiiif itiiiiiiiiii
1. Avolicant/operator or camoanv name (name to be used on permit):
L_(;_ FararieT Tnc.
1.1 Type of organisation (corporation, partnership, etc.): Cornoration
1.2 I.R.S. Tax I.D. No. or Social Security Number:
2. Qperation name (pit, mine or Bite nal~): D7aryland Creek Ranch
3. Permitted acreace (new or existing site) 216 permitted acres
3.1 Change in acreage (+ or -) scree
3.2 Total acreage in Permit area 216 ncres
4. see:
4.1 New Application 51,875.00 application fee
4.2 New Quarry Application 52,325.00 quarry application
4.3 Milling Application (Non-DMO) 53.100.00 milling application
4.4 Amendment Fee S1.550.00 amendment fee
4.5 Conversion to 112 operation (set by statute) 51.500.00 conversion fee
5. Primary commoditie(s) to be mined: Sand Gravel
5.1 Incidental commoditie(s) to be mined: 1. - lba/Tone/vr
2. / lbe/Tone/vr 3. / lbs/Tone/vr
4. / lbe/Tone/vr 5. / lbs/Tone/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: COnst1-Ltction Tlaterial5
5.3 Anticipated end use of incidental commoditie(s) to be mined: