2004-01-14_REVISION - M1980183

• Permit No: M1980183
• IBM Index Class Name: Revision
• Doc Date: 1/14/2004
• Doc Name: Amendment Application
• From: Brannan Sand & Gravel Company
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

RECEIVED
DIVISION OF MINERALS AND
Department of Natural Resources
1313 Sherman SL, Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
JAN 14 2004CJT1~TF,
ro of Minerals and Geology
CHECK ONE: There is a File Nu/tuber A-ready Assigned to this Operation
Permit # M -~- 183- `! (Please reference the file number currently assigned [o this operation)
New Application (Rule 1.4.x)
Conv¢rsion Application (Rule 1.11)
X Amendment Application (Rule 1.10)
CONSTRUCTION MATERIALS /'
REGULAR (112) OPERATION FILE COPY
RECLAMATION PERMTI APPLICATION FQij~~ ~f ~f /g p'
Permit # M -$~- 183 -_ (provide For Amendments and Conversions of existing permits)
~~
DIVISION O`
MINERALS
EOLOGY
CLAMATION
NING•$AF ETY
Bill Owens
Governor
Greg E. Walther
Executive Director
Mithaei B. tong
Division Direcor
The application for a Consnvction Materials 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 Exhrbit; 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 65 (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
$ 1/2" X 11" or 8 1/2" X 14" si,2e. To expedite processing, please provide dtethe information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1. ApplicanUoperator or company name (name to be used on permit):
i/ Brannan Sand $ Gravel Company
1.1 Type of organization (corporation, parmersl7ip, etc.):
1.2 I.R.S. Tax I.D. No. or Sociai SecuriTy Number: _$.g
2.
3.
Operation name (pk, mine or site Hamel: Pit 29
Permitted acreaee (new or eaistin¢ skel:
3.1 Change in acreage (+)
3.2 Total acreage in Permit azea
4.
Fees
of co~or~Do
30.64 permitted acres
176.24 acres
excluding Nome St. R.O.1V.
acres
4.1 New Application
4.2 New Quarry Application
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
5.
$2 344 00 application fee
$2,906.00 quarry application
$1.938.00 amendment fee
$2.344.00 conversion fee
Primary commoditie(s) to be mined: Sand and Gravel
5. i Incidental commoditie(s) to be mined: 1. / lbs/Tons/vr 2. / lbs/Tons/vr 3. / lbs/fons/vr
4. / Ibslfons/vr 5. / ]bs/Tons/vr
i.2 Anticipated end use of primary commoditie(s) to be mined: _ Asphalt/ConCTete
5.3 Anticipated end use of incidental commoditie(s) to be mined: