2001-09-14_REVISION - M1986010

• Permit No: M1986010
• IBM Index Class Name: Revision
• Doc Date: 9/14/2001
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATIONFORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

IIIlllllllllllllill DIVISION OF MINERALS AND GEOLOGY OF COLOKADO i
Deparlmenl of Natural Resources ��
1313 Sherman St-Room 215 RECEIVED Denver,Colorado 80203 D I v 1 5 1 ON O
Phone:[phone] CONSTRUCTION MATERIALS SEP 1 4 2001 MIN &RA L S
FAX [phone] REGULAR(112)OPERATION
GEO LOG I"
RECLAMATION PERMIT APPLICATION FORUVision of Minerals and Ceole a I N I N G-S A F E T Y
Bill 0-,os
Governor
CHECK ONE: There is a File Number Already Assigned to this Operation
Greg E Walche,
Permit# M -^ , _ (Please reference the file number currently assigned to this operation) E.ecwiw Director
Michael S.Long
_New Application(Rule l A.5) _Amendment Application(Rule 1.10) Dwislon Dveuor
Conversion Application(Rule 1.11)
Permit# M 0I 0-_ (provide for Amendments and Conversions of existing permits)
The application fora 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 sided 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 1 l"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 INFORM
ormation described below.
I. Applicant/operator or company name(name to be used on Permit): Y�Y
IlUcAWAIT C'2NT% _
1.1 Type of organization(corporation,partnership,etc.):
1.2 I.R.S.Tax I.D.No.or Social Security Number:
2. Operation name OR,mine or site name n17— n
3. Permitted acreaee(new or existine site 99 permitted acres
3.1 Change in acreage(+) -�- 38. S acres
3.2 Total acreage in Permit area acres
4. Fees:
4.1 New Application S2.344.00 application fee
4.2 New Quarry Application $2,906.00 quarry application
4.4 Amendment Fee $1.938.00 amendment fee
4.5 Conversion to 112 operation(set by statute) $2,344.00 conversion fee
5. Primary eommoditie(s)to be mined: 6yya
5.1 Incidental eommoditie(s)to be mined: 1. / Ibs/fons/yr 2. / Ibs/fous/vr 3. / Ibs/fonsAT
4. / lbs(fons/w S. / lbsrTonslvr
5.2 Anticipated end use of primary commoditie(s)to be mined: / -4 0 M*re1Z/,4L
5.3 Anticipated end use of incidental commoditie(s)to be mined:
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