REV94907 - Laserfiche WebLink

Home Browse Search

~ ~ R~C~~l~l~l~ nh1ENDI~Et•1T FE1315 199. .REGULAR (1121 PERMIT APPLICATION FORM Mined Land Reclamation Division -his form contains two major parts: (1) General Operation Information and (2) Exhibits A-P. Shen you supmit your application, be sure to include four sinned copies of the General Operation Information, four copies of Exhibits A-P, and a cnecx for the application fee described Unger (4) below. To expedite processing, please provide the information in the format and order described in this farm. GENERAL OPERATION INFORMATION Type or print clearly, in the space provided, all information describf~d below. 1. Applicant/Operator Name: Mobile Premix Concret e. Inc. 2. Operation Name (Pit, mine or site name): Specific ation Aggregates Ouarrv _. application type: Regular (112) Permit Operation. 4mendment increa~;e 15.3 acres -. Application Fee for Permitted Acreage* + 2C7.5 = %P? ? .permitted acres. (550.00 + 515.00/acre, 1st. 50 acres: 510.00/acre, 2nd. 50 acres: 55.00/acre, 3rd. 50 acres: 51:00/acre, any additional acreage: maximum fee of 52,000.00,)* Note Perri tted acreage and application fee and ( 15 , 3 ) 1 6 x P 15 + q50= attach a check for this amount when you file, g2g0_00 application fee. 5. Substance(s) to be mined (e.g., gold/silver/gravel): Rock Aagrec~ate . 6. Owners(s) of Substance to be Mined (check applicable box(s)): ~ Private _ State _ Federal _ Indian 7. Owner(s) of Record of Affected Land (cneck applicable box(s)): ~ Private _ State _ Ferderal _ Indian 4. Type of Mining Operation (check applicable box(s)): ~ Surface _ Underground _ In-situ 9. Location Information, The center of the area where the majority of min•na will occur lies in: COUNTY: a PRINCIPLE cnecc ones: 6th (Colorado) xRtihXI;lY9YKkldl~(~t'ip) Ute TOWNSHIP (write number and check direction): T 4 tYd`r~t?S South RANGE (write number and check direction): R ~'~ BdCSt West SECTION (write number): S 1~- OUARTER SECTION (check one): ~E- kkl ;i~ $~b( QUARTER/QUARTER SECTION (check one): NE !Nkl :iE 9d~4( GENERAL DESCRIPTION: (miles and direction South side of the city of Golden. from nearest town and approximate elevation) 6300' f45L 'If the operator is a unit of State or county government, an application fF±e is not required. A fraction of an acre must be counted as one acre for fee calculation.