PERMFILE102126

• Permit No: M1998059
• IBM Index Class Name: Permit File
• Doc Date: 7/10/1998
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGY
Drpanmenl of Nuwral Resources
I }115horman 5l., Room '_75
Drnvor. Colorado aUZ03
Phonc~ i 411 }l abfi-3567
F.4x. 14u a a}!.al ofi
~=COLORADO
RECEIVED
'JUL 10 lggg
Division o(Minerals & Geology
CONSTRIICTION MATERIALS
REGQLAR (112) OPERATION
ATION PERMIT APPLIGTION FORM
~~
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DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
lames 5. Lochhwd
Execwive O~reaor
Michael B. Lonl;
Division Director
CHECK ONE: X New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # - -_ (provide for Amendments and Coaversiona of
existing permits)
The application for a Construction 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 Exhibit; 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 Ivorv 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 bo}>.nd or in a 3-ring binder; maps
should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expe3ite proces ng, pl ass r vide
the information in the format and order described in this form. `~-~~ Q~p1~C~D/~~~~~3
______________________________________________________________'_====~d=E=_34= _=~d~====_
GENERAL OPERATION INFORMATION
Tyye or yrint clearly, in the syace yrovided, ALL information requested below.
1 Applicant/operator or company same (name to be used on permit):
Mikell L. Koellner dba L & L Ready Mix
1.1 Type of organiza[ion (corporation, partnership, etc.): Sole Proprietorship
1.2 I.R.S. Tax I.D. No. or Social Security Number:
2. Operation name (pit, miss or site name): Sunny Dale Farm Pit
3. Pezmitted acreage (new or existing site): 480 permitted acres
3.1 Change in acreage (+) acres
3.2 Total acreage in Permit area acres
4. Fees:
4. 1 New Application 51,875.00 application fee
4 .2 New Quarry Application $2,325.00 quarry application
4 .3 Milling Application (Non-DMO) 53,100.00 milling application
4 .4 Amendment Fee $1,550.00 amendment fee
4 .5 Conversion to 112 operation (set by statute) 51.875.00 conversion fee
S. Primar y commoditie(s) to be mined: Gravel - 29,700 - 30,000 Tons/yr
5 .1 Incidental commoditie(s) to be mined: 1. Rock - 3.000 %)d3(/Tons/yr
2. / 1bs/Tons/vr 3. / 16s/Tons/vr
4. / 1bs/Tons/vr 5. / lbs/Tons/vr
5 .2 Anticipated end use o= primary commoditie(s) to be mined: ROCk / Gravel
5 .3 Anticipated end use of incidental commoditie(s) to be mined: COnCrete PiOduction
oc a es