Laserfiche WebLink
STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RECEIVE® <br />Department of Natural Resources <br />1313 Sherman tit., Room 215 <br />Denver, Colorado 80203 FEB 1 0 2004 ~ °' "' s l ° " o F <br />Phone: (303) 866-3567 MINERAL 5 <br />FAX: (303) 832-8106 & <br />Division ~f Minerals and Geology G E O L O G Y <br />CONSTRUCTION MATERIALS aEC LAMATION <br />MIN ING•SAFETY <br />REGULAR (112) OPERATION / <br />RECLAMATION PERbIIT APPLICATION FORM / silt Owens <br />Governor <br />Greg E. Walther <br />Executive Director <br />OIQE: R New Application (Rule 1.4.5) _ Amendment Applicaion (Rule 1.1rv~I~fchael B. Long <br />Division Director <br />Conversion Application (Rule 1.11) <br />Permit # M -~'}= O~_~ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Ivlaterials Regulaz 112 Operation Reclamation Permit contains three major pazts: (1) [he application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete siened and notazized IVORY ORIGINAL and four (4) copies of the completed Ivory <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for the . <br />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" <br />or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, m the space provided, ALL information requested below. <br />1. Applicant/operator or company name (name to be used on permit): Asphalt Specialties Co. , Inc •~ <br />1.1 Type of organization (corporation, paz[nership, etc.): <br />1.2 LR.S. Tax ID. No. or Social SecttrityNumbea: <br />2. Operation name(plt, mine or site name): Tnrnnilre Mi Wino Re cnnrra <br />3. Permitted acreaee (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit azea <br />4. Fees: <br />4.1 New Application <br />4.2 NewQuanyApplication <br />4.4 Amendment Pee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: Sand Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. - 1bsiT'ons/vr <br />~ ~ s [, permitted acres <br />acres <br />acres <br />52.344.00 application fee <br />$2.906.00 quarry application <br />$1.938.00 amendment fee <br />$2.344.00 conversion fee <br />2. / lbs/fons/vr <br />3. / lbs/I'ons/vr 4. / 1bs.rI'ons/vr 5 . / lbs/Tons/yr <br />5.2 Anticipated end use of primazycommoditie(s)tobemined: Construction~ Cotlere;~erASp AaI't <br />5.3 Anticipated end use of incidental commodifle(s) to be mined: None <br /> <br />