PERMFILE108825

• Permit No: M1998014
• IBM Index Class Name: Permit File
• Doc Date: 2/25/1998
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

• III IIIIIIIIIIIII III
999
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources s' (~
1313 Sherman St.. Room 215 RE"E1~~ED
Denver, Colorado 80203
Phone: [phone] _ .' ~ ~ „
FAX: [phone] ) ~ I~J1
Division o(Minerals & Geology
coxsTRUCrxoN M7ITERIALs
REGULAR OPERATION (112)
RECLAMATION PERMIT APPLICATION PORM
II~~
DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
lames S. Lochhead
Execmive Director
Michael B. Long
Division Director
CHECK ONE: ~_ New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit ~ m^-~_-ply -_ (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 one (1) comulete 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. I
.. _3
GENERAL OPERATION INFORMATION
Type or print clearly in the apace provided the information requested below.

1. App licant/ooerator or comoanv name (name to be used on per[oit):
Gypsum Ranch, LLC
1.1 Type of organization (corporation, partnership, etc.): Corporation
1.2 I.R.S. Tax I.D. No. or Social Security Number:
2. o,~e ration name (pit, mine or site name): r~nc,im Ranr• h Canr3 and (:ravel y;r
3. Permitted acreace (new or existing site) 120.93 permitted acres
3.1 Change in acreage (+ or -) 120.93 acres
'/ 3.2 Total acreage in Permit area 120.93 acres
,
]('4. Feee•
'1 4.1 New Application 51,875.00 application fee
4.2 New Quarry Application 52,325.00 quarry application
4.3 Milling Application (Non-DHO) 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(sl to be mined: Gravel
5.1 Incidental commoditie(s) to be mined: 1. - lbe/Tons/vr
2. / lbs/Bone/vr 3. / lbe/Tone/vr
4. / lbs/Tons/vr 5. / lbe/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Road Base
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A