PERMFILE122465

• Permit No: M1997015
• IBM Index Class Name: Permit File
• Doc Date: 3/24/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
RECEIVED
1313 Sherman SI., Room 21 i
Denver, Colorado 80203
Phone: [phone]
FAX: (303) 83?-8106
~ 2 41997
CONSTRIICTION MATHRI~If~lOfl 0} M1118fdIS tk GBOIOQy
RBGIIr.nn OPERATION (112)
RECLAMATION PBRMIT APPLICATION FORM
36.7 permitted acres
CHECK ONE: x 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 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 sinned 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 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.
_____________________________________________________________________________------ -________
GENERAL OPERATION INFORMATION '~1~- ~ ~ ~' `~
Type or print clearly in the space provided the information requested below.
-------------------------------------------------------------------------
1. Applicant/operator or company name (name to be used on permit)
ai;rOn Ready "4ix
1.1 Type of organization (corporation, partnership, etc.): corporation
1.2 I.R.S. Tax I.D. No. or Social Security Number: 8~1-~t7gp4(195
2. Operation name (pit, mine or site name): Elric
3. Permitted acreage (new or existing site)
3.1 Change in acreage (+ or -)
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
I~~~~
DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
James 5. Lochhead
Executive Director
Michael B. Long
Division Director
acres
'6.7 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
Primary commoditie( s) to be mined: Sane' and Gravel _
5.1 incidental commoditie(s) to be mined: 1. lbs/Tons/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/yr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: consF, nlction
5.3 Anticipated end use of incidental commoditie(s) to be mined: