_PERMIT FILE - M2000002 ‎(18)‎

• Permit No: M2000002
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department313 Sherm of Natural Resources
1313 Sherman 51., Room ZIS RECEIVED
Denver,Colorado 80203
Phone:[phone]
FAX:[phone]
DEPARTMENT OF
Division of Minerals&ueolog) NATURAL
CONSTRUCTION MATERIALS RESOURCES
REGULAR (112) OPERATION Roy Romer
RECLAMATION PERMIT APPLICATION FORM Govemor
lames S.Lochhead
Executive Director
Michael B-Long
Division Director
CHECK ONE: X New Application (Rule 1 .4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
�A Permit # ZWo-WMD_ (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 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 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 company name (name to be used on permit) :
Mobile Premix Conctete, Inc. a Subsidiary of Lafarge Corp.
1.1 Type of organization (corporation, partnership, etc. ) : Corporation
1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-0417513
2 . operation name (pit, mine or site name) : Tanabe Pit
3 . Permitted acreage (new or existing site) : 78.9 permitted acres
3.1 Change in acreage (+ or -) acres
3.2 Total acreage in Permit area 78.9 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. Primary commoditia(s) to be mined: Sand Gravel
5.1 Incidental commoditie(s) to be mined: 1. N/A lbs/Tons/vr
2. / lbs/Tons/yr 3. / lbs/Tons/yr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5 .2 Anticipated end use of primary commoditie(s) to be mined: Construction Materials
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A