1999-12-23_PERMIT FILE - M1999120

• Permit No: M1999120
• IBM Index Class Name: Permit File
• Doc Date: 12/23/1999
• Doc Name: SALES RECEIPT
• From: DMG
• To: L G EVERST INC
• Media Type: D
• Archive: No

• STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
of
Department of Natural Resources
1313 Sherman Room 215 RECEIVED
Denver,Colorado do 80203
Phone:[phone]?
FAX.[phone]
DEC 2 3 1999 DEPARTMENT OF
CONSTRUCTION MATERIALS �;n,n 01 Minerals&Ge0109y NATURAL
RESOURCES
REGULAR (112) OPERATION
Rov Romer
RECLAMATION PEEWT APPLICATION FORM Governor
�"? lames S.Lochhead
\ C) Executive Director
Y Michael B Long
D...sion Director
CHECK ONE: X New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # t --q1(�k - ( a-_ (provide for Amendments and Conversions of existing
permits)
The application for a Construction Materials 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 sinned 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 8 112" X 14" size. T 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. Applicant/operator or company name (name to be used on Permit) :
L.G. Everist, Inc.
1.1 Type of organization (corporation, partnership, etc. ) : Corporation
1.2 I.R.S. Tax I.D. No. or Social Security Number: 46-0229601
2. Operation name (pit, mine or site name) : Ft. Lupton Sand and Gravel Mine
3. Permitted aereaoe (new or existino site) : 85 permitted acres
3.1 Change in acreage (+) acres
3.2 Total acreage in Permit area 85 acres
4. Fees:
4.1 New Application $1, 875.00 application fee
4.2 New Quarry Application $2, 325.00 quarry application
4.3 Milling Application (Non-DMO) $3, 100.00 milling application
4.4 Amendment Fee $1, 550.00 amendment fee
4.5 Conversion to 112 operation (set by statute) $1, 875.00 conversion fee
5. Primar• commoditie( ) to be mined: sand -ravel
5.1 Incidental commoditie (s) to be mined: 1. - 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: Asnhnl /ron . /aeerecates
5.3 Anticipated end use of incidental commoditie (s) to be mined: