PERMFILE122596

• Permit No: M2004025
• IBM Index Class Name: Permit File
• Doc Date: 4/13/2004
• Doc Name: 110c Appl.
• From: Oldcastle SW Group Inc. dba Four Corners Materials
• To: DMG
• Media Type: D
• Archive: No

TATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Nawral Resources
1313 Sherman St., Room 2i5
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
RECEIVED
APR 13 2004 f
CONSTRIICTION MATERIALS
/LIIVIITED I11'IPAGT (110) OPERATION ion of Mineralsand Geology
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: ~ There is a File Number Already Assigned to this Operation
/petmR # t~q -Z~a [~- D~.S(rlease reference f9te fde number canen8y assigned to tlds opera4ion)
_~ New Application (Role 1.4.5)
Conversion Application (Role 1.11)
Am~dmert Application (Role 1.10)
DIVISION OF
MINERALS
GEOLOGY
RECLAMATION
MINING•SAFETY
sill Owens
Gpvertgr
Greg E. Walther
Executive Director
Ronald W. Canany
Atting Division Director
Permit # ~-_ -_ (provide for Amendme~s and Conversions of existing permits)
The application for a Conshiction Materials Limited Impact (110) Operation Reclamation Permit contains three major part: (1) the
application foam; (2) Exhibits A-I, Exhibit L, Addendum 1, airy sections ofF.xhibit 6.5 and Geotechnical Stability Exhibit, as r+egtlired by the
Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1 xb); and (3) the application fee. When yon submit your application, be stye to
incl»de one (1) complete sinned and not~rned IVORY ORIGINAL and tae (1) copy of the completed Iv applicationform, two (2) copies
of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geoteclmical Stability Exhibit), as required, and a check for the
application fee described tinder (4) below. Exhibits slioold NOT be bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or
8 IP2" X 14" size. To expedite processing, please provide the information in the format and order described in t1Lis form.
GENE1tAL O}?IItATION INFORMATION
Type or print clearly, in the space provided, ALL information descitbed below.
0t.4CAbi S(r7 (o7'-OV`Q~ t+tG, b8A /'r
1. Annticant/operator or company name (name to be used on ~rmitl: V N ITEfl CDMA~v t ES' 4JF MESA ~AIT'f/ V
1.1 Type of organv~tion (corporation, parmerahip, etc.): C'oRPD R A~Q>V
1.2 I.RS. Taft ID No. or Social Security Niimber. 2.: ~~ - ~~ q5~
2. Operation name (nit. mine or site Hamel: NOR61i ~71 R ~ p f~
3. Permitted acreage (new or eaislina aitel: ~ permitted acres
3.1 Change m acreage (+) acres
3.2 Total Acreage m Permit Area Q' q7 acres
4. ~:
4.1 New Application: 51.094.00 application fee
Amendment Fee (C.RS. 34-32.5-125(II)): 5719.00 application fee
4.2 Conversion Fce (from I lOd ro 110 5875.00 conversion fa~ce"A ~(R~~ole 1.11.2(2))
5. Primary commoditie(sl to be mined: /~L ~~`r^'~'
5.1 Incidental commoditie(s) to be mined: 1. / IbsR'ons/vr 2. / Ibs/Tong/vr 3. / IbslTons/vr
4. ! Ibs/fons/vr 5. / Ibs/1'ons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: COAl~7~21/GTfait~ /1~7'1~ft41S
Anticipated ced Ilse of incidental commoditie(s) to be mined: