PERMFILE102120

• Permit No: M2006032
• IBM Index Class Name: Permit File
• Doc Date: 4/18/2006
• Doc Name: 112c application
• From: Margaret Hale
• To: DMG
• Media Type: D
• Archive: No

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~`~~~' ~~~ ~~ ~ ~ STATE OF COLORADO
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DIVISION OF MINE1tAL5 AND GEOLOGY
Department of Natural Resources
Division of Minerals and Geology
13135herman St., ROOm 2i5 - COLORADO
Denver, Colorado 80203 ~ D I V I S I O N O F
Phone: [phone] CONSTRUCTION I1IATERIALS MINERAL S
FAX: (3031 ts3z-ato6 REGULAR (112) OPERATION G E O L O G Y
RECLAMATIONPERhIITAPPLICATIONFORM "E SAfETY13C1ENCFNc
' Bill Owens
Govertror
CHECK ONE: There u a File Number Already Assigned to this Operation Russell George
Permit # M -_•_-_ (Please reference the file number cmrenlly assigned to this operation) E.ecutlve Director
New lication Ronald w. Cattany
App (Rule 1.4.5) _ Amendment Application (Rule 1.10) Division Direttor
Conversion Apphcation (Rule 1.11) Nawal Resource rn,stee
Permit # M -_ -_ (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Regulaz 112 Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A-S, Addendum 1, any sections ofExhibit 6.S (Geotechnical Stability Exhtbit; and (3) the application fee. When you submit your
applicatioq be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed applicationfonq two (2)
copies of Exhioits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the application fee describes
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 ] 2" X 14" size. To
expedite processing, please provide the information in the format and order descn'bed in this form
GENERAL OPERATION INFORMATION
Type or print clearly, in the apace provided, AT •i"information requested below.
1. ADplicanfJoperator or comoanv name (name to be used on cermit): ~1'IRR l;,4Rr= T i(Rl
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1.2 Type of organization (corporation, partnership, etc.): t_
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3. Permitted acreage (new or eaistiay siteY .~ ~ permitted acres
3.1 Change in acreage (+) acres
3.2 Total acreage in Permit area X36 , ~ acres
4. Fees:
4.1 New Application 2 344.00 application fee
4.2 New Quarry Application $2.906.00 quarry application
4.4 Amendment Fee $1.938.00 amendment fee
4.S Conversion to 112 operation (set by st
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) $2.344.00 conversion fee
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Pr[marv rnmmoditie(s) to be mined: ,~ (s~f~~/-
5.1 Incidental commoditie(s) to be mined: 1. ]bs/fons/vr 2. ! Ibs/Tons/vr
3. / Ibs/Tons/yr 4. / Ibs/Tons/vr 5. / Ibs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: ~ RA:tE / ~S P F~-~'1-~-
5.3 Anticipated end use of incidental commoditie(s) to be mined:
Office of Office of Colorado