_REVISION - M1978107

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

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STATE OF COLORADO
+DIVISION OF MINERALS AND GEOLOGY
of
Department of Natural Resources '
I.11 J Sherman R.. Room 215
Denver,Colorado 80201
Phone:IJOJI 866-1567
FAX:U0318.12-8106
DEPARTMENT'OF
NATURAL
CONSTRUCTION MATERIALS RESOURCES
CjCV AlON�Cdi� REGULAR OPERATION (112)
11\\Vv o RECLAMATION PERMIT APPLICATION FORM Roy Romer
Governor
lames S.Lochhead
E.K.I. a Director
Michael B.Lonl;
Diwis.on D,reaor
CHECK ONE: New Application (Rule 1.4.5) X Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit f 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
o bed in this form.
5 6 1=
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) :
MONTEZUMA COUNTY
1.1 Type of organization (corporation,. partnership, etc. ) : COUNTY GOVF.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) : TOZF.R LET 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 53:.. 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-DHO) S3.100.00 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 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