REV104937

• Permit No: M1978107
• IBM Index Class Name: Revision
• Doc Date: 7/6/1998
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM2
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources Received ~~
1313 Sherman A . Room 715 II~
Dcnvcr, Colorado A(12U1
Phone:13071 Ah6-75b7 JUN 2 4 1998
FAX:13071 A72~NI D6
RECEIVED DEPARTMENT OF
CONSTRUCTION MATERIALS Durango Field ONfCe NATURAL
Division of Minerals b Geology RESOURCES
JUL 0 6 1998 REGULAR OPERATION (112 )
RECLAMATION PERMIT APPLICATION FORH Roy ROmer
Governor
Division of Minerals & Geology Tames S Lochhead
F.ecm rvc Director
bLihael A Long
Uimswn Duenor
CHECK ONE: New Application (Rule 1.4.5) ~ Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit ~ M - /$ - 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 ore (1) complete sinned 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.
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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.): ('()IiN TY (;()V F.R NM F.NT
1.2 I.R.S. Tax I.D. No. or Social Security Number:
2. Operation name (pit, mine or site name): TOZER ]~ EXPANST()N
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 51,875.00 application fee
4.2 New Quarry Application S2,325.00 quarry application
4.3 Milling Application (Non-DMO) 53,100.00 milling application
4.4 Amendment Fee 51,550.00 amendment fee
4.5 Conversion to 112 operation (set by statute) 51,875.00 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/Tone/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr S. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: ROAD CONSTRIICTION
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A