PERMFILE70136

• Permit No: M2001038
• IBM Index Class Name: Permit File
• Doc Date: 4/6/2001
• 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
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Resources
1313 Sherman 51., Room 27 i ~~~
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Denver, Colorado 80203 r C
Phone: [phone]
FAX: [phone] CONSTRUCTION MATERIALS
APR 0 6
REGULAR (112) OPERATION 2001
RECLAMATION PERMTT APPLICATION of Minerals and Geoltt~
t .2 I.R.S. Tax I.D. No. or Social Securirv Number
CI-IECK ONE: There is a File Number Already Assigned to this Operation
Permit # M -_ _ _ (Please reference the fde number currently assigped to Wis operation)
aeration name (nit, mine or sRe name):
Michael B Long
~_ New Applicaion (Rule 1.4.5) _ Amendment Application (Rule I. IO) Di,.i:.on Direc~or
Covvenion Application (Rule I.l I )
Permit # M - (provide for Amendments and Coiversions of existing permits)
The application for a Consnvctiov Materials Regular 112 Operation Reclamation Pernvt covtams three major parts: (I) the application form:
(2) Exhtbits A-S. Addendlmt I, any sections of Exhibit 6.5 (Creoteclmical Stability Exhibit: and (3) the application fee. When you submit yow
application, be sure to include one (1) comolete si®ed and notarized IVORY ORIGINAL and four (4) copies of the completed Ivon,
application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geoteclurical Stability Exltibi[, 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 w the fotmat and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below-
A~oGcait/overator or comoanv name (name to be used ou vermitl:
navid Lincoln
1.1 Type of organization (corporation, partnership, etc.):

3
Permitted acrea¢e (new or ertlistin¢ site):
3.1 Change in acreage (+)
3.2 Total acreage in Pernvt azea
4.
5.
Fees
D~SS
MINERALti~
GEOLOGII
RECLAMATION
MININ G•SAFETY
BJI Owens
Governor
Greg E. walche~
Execwi~e Director
acres
acres
4.l New Application $2.344.00 application fee
4.2 New Quarry Application $2.906.00 quam application
4.4 Amendment Fee $1.938.00 amendment fee
4.5 Conversion to 112 operation (set by statute) $2.344.00 conversion fee
Primarvcommoditie(sltobemined: Sand Gravel Borrow
5.1 Incidental commoditie(s) to be mined: 1. / Ibs/Tons/vr 2. / Ibs/I'ons/vr 3. / Ibs/Tovslvr
4. / lbs/ioos/vr 5. / lbs/fons/vr
5.2 Anticipated end use of primary commoditie(s)tobemined: Road F Hia way_Construetion
Bennett Sand ~ Gravel Pit #2
4 ~ • ~ 5 permitted acres
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A