_REVISION - M1978107

• Permit No: M1978107
• IBM Index Class Name: Revision
• Doc Name: EXHIBIT A LEGAL DESCRIPTION
• Type & Sequence: AM2
• Media Type: D
• Archive: No

STATE OF COLOKADO
DIVISION MINERALS AND GEOLOGY
Deparlmenl of of Naluml Resources
1 J 1 J Sherman 51-Ruom 215
Denver.Colorado A11201 \I(� l JUN I 0
Phone:1703I A66 1567
FAX:[phone]
DEPARTMENT OF
NATURAL
CONSTRUCI`ION MATERIALS RESOURCES
REGULAR OPERATION (112)
RECLAMATION PERMIT APPLICATION FORM Roy Romer
Govm.or
lames S.Lochhead
Fsecueve D"ector
Michael B.long
U,v,,,uo Director
CHECK ONE: New Application (Rule 1.4.5) �_ Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit I M - 78 - 107 (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 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 a 3-ring binder; maps should be folded to 8 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 INFORMATION
Type or print clearly in the space provided the informati ted below.
1. Applicant/operator or company name (name to be used on permit) :
MONTEZUMA COUNTY
1.1 Type of organization (corporation, partnership, etc. ) : COUNTY (;nVF.RNMF.NT
1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-6000786
2. Operation name (pit, mine or site name) : TOZFR RIT. EXPANSION
3. Permitted acreage (new or existing site) 13 .29 permitted acres
3.1 Change in acreage (+ or -) 40. 51 acres
3.2 Total acreage in Permit area 51., 80 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) $1,875.00 conversion fee
S. Primary commoditie(s) to be mined: GRAVEL 50 ,000 CUBIC YARDS per yr for 10 years
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr
2. / lbs/Tons/yr 3. / lbs/Tons/yr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: ROAD CONSTRUCTION
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A