PERMFILE112959

• Permit No: M1998003
• IBM Index Class Name: Permit File
• Doc Date: 1/15/1998
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION APPLICATION
• Media Type: D
• Archive: No

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STATE OF
RECEI!/Fn
DIVISION OF MINERALS AND GEOLOGY
Depanmenl of Nalu ral Resources
1313 Sherman 8t., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
JAN 15 1998
COLORADO
Division of Minerals 8t Geobgy
CONSTRIICTION MATERIALS
REGIILAR (112) OPERATION ~ C
ATION PERMIT APPLICATION FORM C~~ /~ ~/
~j~~ ~~
~~~~~
DEPARTMENT' Of
NATURAL
RESOURCES
Roy Romer
Governor
lames 5. Lnchhead
Executive Director
Michael B. Lons
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)
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 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. ~ - ~ _ „~ ^ "2
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GENERAL OPERATION INFORMATION
Type or print clearly, in the apace provided, ALL information requested below.
1. Ap plicant/operator or comp any name (name to be used oa permit):
Moffat County Road Department
1. 1 Type of organizati on (corporation, partnership, etc.): LOC al Government
1. 2 I.R.S. Tax I.D. No . or Social Security Number: 81'('-6000-785
2. Op eration name (pit, mine or site name): $aftOPOUlOS Plt #1
3. Permitted acreage (new or existing site): 15 permitted acres
3. 1 Change in acreage (+ or -) ~ acres
3.2 Total acreage in Permit area
4. Fees
4.1 New Application
4.2 New Quarry Application
4.3 Milling Application (Non-DMO) .
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
5
15 acres
*** 51,875.00 application fee
$2,325.00 quarry application
53,100.00 milling application
51,550.00 amendment fee
51,875.00 conversion fee
Primar y commoditie( s) to be mines: Gravel Sand
5.1 Incidental commoditie(s) to be mined: 1. N y lbs/Tons/yr
2. / lbs/Tons/yr 3. / lbs/Tons/vr
4. / lbs/Tons/yr 5. / lbs/Tons/ r
5.2 Anticipated end use of primary commoditie(s) to be mined: Oa aln enance
5.3 Anticipated end use of incidental commoditie(s) to be mined: NSA