REV05544

• Permit No: M1977020
• IBM Index Class Name: Revision
• Doc Date: 7/21/1997
• Doc Name: CONSTRUCTION MATERIALS PERMIT AMENDMENT DELTA SAND AND GRAVEL CO PIT 1 MLRB PN M-77-020 DELTA CNTY C
• From: ENVIRONMENT INC
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

TATE O~
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DIVISION OF MINERALS AND GEOLbGY \
DepfAmenl bf Natural Rlfourctl R~r.EivED ~ 12-e ~-
171 S Sherman 51., Room ! 1 S -~1 1
Derwer. Colorado 90701 _ ai I
Phone: (7071 A66-J 567 II II rt ~ ~8G1
IAr: 0071 !1):-8106 U!1
~ina~en o~ In+lereis r reelaQ~
COHSTRUCTIOH MATERIALS
REGULAR OPERATION (112)
RECIAIFATIOR PERMIT APPLICATIOR FORM
~~~
IIEPNR7MFNi OF
NATURAL
RESOURCES
Roy Romn
Cmtrnor
I,me+S. l«h1.eaA
Fitcutlve Dbrrlor
Michael B. Lea
Dlvhlen Dl,eam
CHECK ONE: New Application (Rule 1.4.5) XX Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # M - 77 - 020 - provide for Amendments and Conversions of
existing permits)
This application for a Regular 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 fen. When you submit your application, be sure
to include one (1) 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 3-ring binders; maps should be folded
to 6 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 INPORMATION
Type or Print clearly, in the space provided, all information described below.
1. Applicant/Operator Name (name to be on Permit):
Delta Sand and Gravel Co.
1.1 Type of Organization (corporation, partnership, etc.): Corporation
1.2 I.R.S. Tax ID No. or Social Security No.:
2. Operation Name (Pit, mine or site name): Pit #1
3. Permitted Acres (new or existing site): 19.76 permitted acres
3.1 Change in (+ or -) +25.43 acres
3.2 Total acres in Permit area 45.19 acres
4. Fees•
4.1 New Application: o'~rP,~-,~^ application fee
4.2 New Quarry Application: o'er °'-~9 quarry application
4.3 Milling Application (non-DMO): S 1-r~-06r06 milling application
4.4 Amendment Fee: $1,550.00 amendment fee
4.5 Conversion to 112 application (get by statute) ~~^~ conversion fee
5. Prima ry commodities(s7 to be mined: Sand Gravel
5.1 Incidental commodities(s) to be mined: 1. / lbs/Ton/yr
2. / lbs/Ton/yr 3. / lbs/Ton/vr
4. / lbs/Ton/yr 5. / lbs/Ton/yr
5.2 Anticipated end use of primary commodities(s) to be mined: Construction Acas.
5.3 Anticipated end use of incidental commodities(s) to be mined: