1997-10-23_REVISION - M1977170

• Permit No: M1977170
• IBM Index Class Name: Revision
• Doc Date: 10/23/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY ~
Depanment of Natural Resources ~(%
7 313 Sherman A.. Room 215 ~'~y~ ~~ l,~ Irr~~ .
Denver, Colorado 80203 ~ - - f ~ u '' ~ ~ ; `~ ~ II
Phone: [phone] ~ /1 i
FAX: [phone] l~/
JCT 7 3 1991 G DEPARTMENT OF
( ~ ~.r,.NATUR.AL
-~ CoNSTRIICTION MATERIALS ~r;rRESOURCES
/ AEGIILAR (112) OPERATION•.~.:,V`.... _ ~ ~. _. RoY Romer
RECLAMATION PERMIT APPLICATION FORM Governor
)amen 5. lochhead
. ~1 Eaecurive Director
Michael B. Long
Division Direcor
CHECK ONE: Nev Application (Rule 1.4.5)
Conversion ~Afpplication (Rule
Permit #~- 7 I -~~ -_
Amendment Application (Rule 1.10)
1.11)
(provide for Amendments and Coavereioas 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 B 112" 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, is the space provided, ALL information ret=uestefl below.

1.
A - - - -- - -------- -- - - - ------ ------ ------ --
licaai/o orator or c as name name to be used on armit :
~A Go G T/o a i1/
1. 1 Type of organization (corporation, partnership, etc.)
:
/9T/v
,
/
~~SZ 2 S~
~
1. 2 I.R.S. Tax I.D. No. or Social Security Number:
7
2. op eration name (pit, mine or site name): ~yTA~A ~~i A FG / T
3. Permitted acreage (aem or existing site): Z. 7 permitted acres
3 .1 Change in acreage ~+ or -) '~ G ~. Z acres
3 .2 Total acreage in Permit area S"3. 4 acres
$. Fees:
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 .9 Amendment Fee -- 51,550.00 amendment fee
4. 5 Conversion to 112 operation (se[ by statute) 51
~75.00 conversion fee
5. Primar n
y commoditie(s) to be mined: OAS F /~~ ~
~
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5 1 ~
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QQ'fl C-~ ~
~VD
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O
ental commod
e(s) to be m
ne
1
lr1E/Tons/vr
t
: 1;D
2. / lbs/Tons/vr 3. Q~C / lbs/Tons/vr /
9. / 1bsfTons/yr 5. /
l
bs/Tons/vr
5. 2 /~~'
~,
Anticipated end use of primary commoditie(s) to be mined: /[!/rrO NOSE/GD~G.ILrTE
5. 3 Anticipated end use of incidental commoditie(s) to be mined: DEGO.F~9T/!/E