1997-02-12_REVISION - M1985043

• Permit No: M1985043
• IBM Index Class Name: Revision
• Doc Date: 2/12/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

STATE OF COLOKADO
DIVISION of MINERALS AND GEOLOGY
Ill
3Sh Sherman
n Natural Resources
I ll J Sherman St., Room 215
Denver,Colorado 80203
Phone:[phone] P['i+r l /r O
FAX I303)812 8106 I'"`
;1
DEPARTMENT OF
r['R y n 7
CONSTRUCTION MATERIALS L' I �•'�/ NATURAL
RESOURCES
REGULAR OPERATION (112)
RECLAMATION PERMIT APPLICATION FORM Roy Romer
Governor
James S.Lochhead
Emcative Duecror
Michael B.Long
Division D,recror
CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit S �_-�- 04 (provide for Amendments and Conversions of
existing permits)
The application for a 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 complete3
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 lle
r 4 1/2" X 14" size. To expedite processing, please provide the information in the format and
L .ar described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly in the space provided the information requested below.
1. Applicant/operator or company name (name,to be used on permit) :
1.1 Type of otga izat'o�J orporation, part ership, etc. ) :' ri C' ,Z' �O
1.2 I.R.S. Tax I.D. No. or Social Security Number: SSaZ~/
2. Operation name (pit, mine or site name) : Rcd CFlA,?,YOA-) QUA/fir
3. Permitted acreage (new or existing site) 3 8 permitted acres
3.1 Change in acreage (+ or -) 9b (0 37 acres
3.2 Total acreage in Permit area acres
4. Fees: '
4.1 New Application $1,875.00 application fee
4.2 New Quarry Application $2,325.00 quarry application
4.3 Milling Application (Non-DMO) $3,100.00 milling application
4.4 Amendment Fee $1,550.00 amendment fee
4.5 Conversion to 112 operation (set by statute) S1,875.00 conversion fee
5. Primary commoditiels) to be mined: G i SFJ-,✓c)
5.1 Incidental commoditie(s) to be mined: 1. r='• a, lbs/Tons/vr
2. Q1JV V000A/ W)/,1ORMI lbs/Tons/vr 3. / lbs/Tons/yr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commodities) to be mined: �oA)SJ�UCr.TeiJ
5.3 Anticipated end use of incidental commoditie s) to be mined: 0"A4VOLLJ