1998-06-04_PERMIT FILE - M1998047

• Permit No: M1998047
• IBM Index Class Name: Permit File
• Doc Date: 6/4/1998
• Doc Name: CONSTRUCTION MATERIALS APPLICATION
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215 Ir��
Denver,Colorado 80203 RECEIVED I
Phone:[phone]
FA%.[phone] 'JUN 04 1998 DEPARTMENT OF
NATURAL
CONSTRUCTION MATERIALS
of Minerals&Geology RESOURCES
REGULAR (112) OPERATION Roy Romer
RECLAMATION PERMIT APPLICATION FORM Governor
James S.Lochhead
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Michael B.Long
Division Director
CHECK ONE: XX New Application (Rule 1.4.5) Amendment Application (Rule 1 .10)
Conversion Application (Rule 1.11)
Permit # - (provide for Amendments and Conversions of
existing permits) ,^i_ r 6 C) CI
The application for a Construction Materials Regular 112 Operation Recla_mation 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 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 t
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GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information requested below.
1. Applicant/operator or company name (name to be used on permit) :
Moffat County Road Department
1.1 Type of organization (corporation, partnership, etc. ) : Local Government
1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-6000-785
2 . Operation name (pit, mine or site name) : Mantle Pit #3
3. Permitted acreage (new or existing site) : 17. 9 permitted acres
3.1 Change in acreage (+ or -) A acres
3 .2 Total acreage in Permit area 17.9 acres
4. Fees:
4.1 New Application $1, 875. 00 application fee
4.2 New Quarry Application $2, 325 .00 quarry application
4. 3 Milling Application (Non-DMO) $3, 100.00 milling application
4.4 Amendment Fee $1, 550.00 amendment fee
4.5 Conversion to 112 operation (set by statute) $1, 875.00 conversion fee
5. Primary commoditie(s) to be mined: Sand Gravel
5. 1 Incidental commoditie(s) to be mined: 1 . N/A - lbs/Tons/yr
2. / lbs/Tons/yr 3 . / lbs/Tons/yr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: Road Maintenance
5.3 Anticipated end use of incidental commoditie(s) to be mined: