2006-06-30_REVISION - M1977439 ‎(2)‎

• Permit No: M1977439
• IBM Index Class Name: Revision
• Doc Date: 6/30/2006
• Doc Name: Appl Worksheet/Checklist Inadequate Submittals
• From: Lafarge West Inc.
• To: DMG
• Type & Sequence: AM3
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY i
t3epartment d Wlurlll Resources
1313 Shamus SL, Roan 215 C O L D RA D O
n I V I s 1 0 N O F
t3enver. Colorado 90203 EC ~ e 1 ` .. M I N EE Rs
fiosM: (303) 9663567 CONSTRUCTION MATERIALS "
FAx: [phone] REGULAR (112) OPERATION t GEOLOGY
RECLAMATION PERMIT APPLICATION 1~~ ~" I " iiiii ii ~"nci"`
Yivision sf Minerals and Ceolo~ysiii owem
Goennr
CHECK ONE: _ There it a Fitt Number Already Auiped to thb Operatbv aaKn cco7e
Permit # M -f ~~-_ (Please reference the file nmvber emrattty assigned to this operation) F%COR"° o~'~a
New Application (Rule 1.4.5)' ~ Amendment Application (Rule I.10) ~;,;a„vo;~Y
f Conveniov Application (Rule 1.11) Nand aewwae rnaace
Yermit # Ivt - t7 rr --1J 1 -_ (prot~de for Ameudmevb ~d Converoiovs of existing permits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains throe major parts: (1) the applicadon form;
(2) Exhibits A-S, Addendmn I, arty sections of Exhibit 6.5 (Geotechnical Stability Exhibit and (3) the application Cce. When you submi[your
. aPPlication,besuretoinclttdense(1)cotsole[esi®edandlrotati2cdORIGINALandone(1)copyofthecomple[edapplicationfonn,two(2)
copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geoteclutical Stability Exhihit and acbeck Cor the application fee dessibed
order Section (4) below. Exhibits should ~oT_ be twutd or N a 3-ring binder, maps should be folded to 8 1 /2" X 11"a 8 1 /2" X 14"silt. To
exptdite processing, pleesc provide the information N the format and order described in this totm
GENERAL OPERATION INFORMATION
Type or print ckxrly, in the space provided, ALL ivtormatiov tegttasted below.
C I . Applicantloverator or comvavv name (name M be used on txrmkl: iAFi4R~F
1. t Type of organize[ion (corlxuetion, paMership, etc.): r~p~TO1.I
2. Operation name (oit, wive or site Dame): ~iOME ~?~IC~ P IT
3. Permitted aereaae (vea• or e:istive site):
3.I Change m acreage (+)
3.2 Total acreage in Permit area
4. ~:
4.1 New Application
4.2 New Quarry Application
4.4 Amendmert Fce
4.5 Conversion to 1 12 operation (set by statute)
i. ~tirnarv eommodkk(al to be mtaed: ~ 't C~~t/FL _
5.1 Incidental commoditie(s) to be mined: 1f~. - Ibs/ronsWr
3. / Ibs/fons/vr 4'. / Ibs/I'ons/vr
'~ . 5 permined acres
*~~r~~-C,~S~ acres
_ r ..w. ~i acres
$2.344.00 application fee
$2,906.00 quany application
$1.938.00 amerdrnetrtfce
$2.344.00 conversion fee
2. / Ibs/fonshT
5. / Ibslfons/vr
5.2 Anticipated end use of primary commoditie(s) to be rttirled: BUILDI N(T MATER IALS
5.3 Anticipated end use of irloidental crnranoditie(s) to be mined:
C
1XRce of
Mined land Reclamation
Adlve and ln~aQ~ve Mine RECEIV~p ~~
JUN 3 0 2006
pivisian st Mi~ca& aad G#91asy