PERMFILE112386

• Permit No: M2000088
• IBM Index Class Name: Permit File
• Doc Date: 7/28/2000
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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^IVISION OF MINERALS AND GEOLOGY
Drpanmerol ui Natural Re~ourCes
111 I Sherman Si.. Ruom CIS
Denver, Colnradu aU2U1
Pnune. Moll unc,-lsb;
FAX' 1Sr13181'_-N106
RECEIVED
JUL 12 2000
Division of Minerals & Gtokgy
CONSTRUCTION MATERIALS
REGULAR (112) OPERATION
RECE~vE~
~~~ 1 g 2000
~tvrsion o1 Minerals and Ceolagy
~~
D I V I S I O N O F i
MINERALS
$t !
GEOLOGC~
RECLAHATION~
MINING•SAFETY I
RECLAMATION PERMIT APPLICATION FORM a'"ONe"'
Covemni
Cre~ E. Walcnc,
Execviwe D'venor
CHECK ONE: New A lication Rule 1,4.5 Amendment A lication Rule I.IpMtMirnael e. Ln"~;
PP ( ) PP ( Drvn~on D~cector
Conversion Application (Rule I .I I )
Permit H M ~- ~~! (provide for Amendments and Conversions of existing permits)
The application for a Construction Mazerials Regular 112 Operation Reclamation Permit contains three major parts: (I) the application form;
(2) Exhibits A-S, Addendtun 1, any sections ofExhibi[ 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your
application, be sure [o include one (I) complete si ned and notarized IVORY ORIGINAL and four (4) copies of the completed Ivy
application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 {Geotechnical Stability £xfiibit, 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 I/2" X l I" or 8 I/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information requested below.
I. Apolicantlooerator orcomoaav Dame (name to be used on oermitl:~ `~ '~r ~+ e_aeS~e~ ~,,nk-ems pr~Srs,Tir
I .I Type of organization (corporation, partnership, etc.): C o, f goo r cv.~ o ~
1.2 I.R.S. Tax I.D. No. or Social Security Number: S''I - 13~ I4313°~
2. Ooeratioo name {Itit mine or site name): l Jw~~2 c-O ~-1 ~C.~.y 2`
3. Permitted acreaee foew or existioe site):
3.1 Change in acreage (+)
3.2 Total acreage in Permit area
4. Fees:
4.1 New Application
4,? New Quarry Application
4.3 Milling Application (Non-DMO)
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
5. Primary commoditietsl to be mined:/. ~,•4i~ 2. ~QCC./1~ .1~~ $-G/?airti G
5.1 Incidental commoditie(s) to be mined: I.
3. 5~.;~ Ibs o~ 4.
5.2 Anticipated end use of primary commoditie(s) to be m
y O permitted acres
acres
~-\ (> acres
51.875.00 application fee
52.325.00 quarry application
53.100.00 milling application
$1.550.00 amendment fee
S 1.875.00 conversion fee
2. _S'CX7 Ibs o
5. "' Sa! Ibs ons/v
5.3 Anticipated end use of incidental commoditie(s) [o be