Laserfiche WebLink
2"~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Phoner103)8660306203 F~~„E COPY <br />FAX: (303) 832-8106 fOR SCANN/NG <br /> <br />D I M S (O N O F <br />MINERALS <br />GEOLOGY <br />61gsron ofM/eora/s a~ MEN 1 N G 5 A F EOT Y <br />CONSTRUCTION MATERIAIS <br />REGULAR (112) OPERATION d Geo/fig owe: <br />RECLAMATION PERMIT APPLICATION FORM gKemar <br />Greg E. Watcher <br />- Executive Director <br />CHECK ONE: There is a F77e Number Already Assigned to this Operation <br />Ronald W. Cattany <br />Permit # M - 77 - 392_! (please reference the file nlmiber emrently assigned to this operation) Acting Division Director <br />New Application (Role 1.4.5) _~ Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.1 I) <br />Permit # _ vi - 7 7 - 3 9 2-_ (provide far Amendme~a and Com~enions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Perffit contains three majorparLS: (1) the application form; <br />(2) Exhibits A-S, Addendlffi I, atry sections of Exhibit 6.5 (Geotechnical Stability Exlubih and (3) ~e application fee. When yon submit your <br />application, be sore to include one (1) complete signed and notarized IVORY ORIGINAL mmd one (1) copy of the completed I~ application <br />form, two (2) copies of Exhibits A-S, Adtfendlmm 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application <br />fee descrlbed ender Section (4) below. Exhibits should NOT be hotrod or in a 3-ring binder; maps shamld be folded to 812" X ] 7" or 8112" <br />X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the apace provided, AI,L information requested below. <br />1. <br />2. <br />3. <br />Acme Brick -Denver Plant <br />ADOlicantlooerator or comnanv name (name to be used on permitl: lnl~ ~j15xx1Exid~$SfS67alt56r <br />1.1 Type of organization (corporation, partnership, etc.): ~prpnra r; nn <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />Operation name (nit- mine or ske namel: <br />Permitted acreage (new or evstiaQ site): <br />3.1 Change in acreage (+) <br />3.2 Tots: acrease in Permit area <br />4. Fees: <br />4.1 New Application - <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />45 Conversion to 112 operation (set by statute) <br />5. Primary Commoditie(s) to be mined: Cl a~ _ <br />5.1 Incidental commoditie(s) to be mined: 1. - Ibs/Tonstvr <br />3. / lbs/Tonsl~r 4. / lbsll'ons/vr <br />'; 5 permitted a::res <br />7.'15 acres <br />42.35 acres <br />$2.344A0 application fee <br />$2.906.00 tprarry application <br />$;.938.00 amendment fez <br />x2.344-00 conversion fee <br />2. / IbslTonslvr <br />5. / IbsyTons/vr <br />5.2 Anticipated endllseofprimarycommoditie(s)tobemined: Manofacturin¢ Brick <br />5.3 Anticipated end rise of incidental commoditie(s) to be mined: <br />