PERMFILE128092

• Permit No: M2000016
• IBM Index Class Name: Permit File
• Doc Date: 2/1/2000
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGY
Deparimenl of Natural Resources RECEIVED
131 S Sherman St., Roum ? l i D I V I S I O N O F i
Denver, Colorado HU103 r /' i 2~OU
Phone. 130)1 HfiG~3.ib7 t- ~ Q V MINERALS
FAX. Ot)b n3?-H106 & i
Dlvislon of Minerals 8 Geology GEOLOGY
RECLA MATIONI
CONSTRUCTION MATERIALS MINING•$AFETY i
REGULAR (112) OPERATION
RECLAMATION PERMIT APPLICATION FORM B II Owens
Governor
Gres E. Walther
6rCLpve Dverlar
CHECK ONE: New A lication Rule 1.4.5 Amendment A lication Rule 1.1 pM chael B. Lonq
~ PP ( ) PP ( Divrsion Direcmr
Conversion Application (Rule I.I 1)
Permit # M ~~-~-_ (provide for Amendments and Conversions of existing permits)
The application for a Construction Mazerials Regular 112 Operation Reclamation Permit contains three major parts: (I) the application form;
(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your
application, be sure to include one (I) complete sinned and notarized IVORY ORIGINAL and four (4) copies of the completed Ivor
application form, five (5) copies of Exhibits A-S, Addendum 1, appropriaze sections of 6.5 (Geotechnical Stability Exhibit, and a check for
the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to
8 1/2" X l I" or 8 I/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type ar print clearly, io the space provided, ALL information requested below.
~ ~ i ~ 7S~
JF COLOR~DO$
A licant/o eratorarcom ao name name to be usedoo ermk: Mobile Premix Concrete, Inc., a sub-
si iarv o a arge orP. Colorado Co oration
1.1 Type of organisation (corporation, partnership, etc.): rP
1:2 I.R.S. Tax I.D. No. or Social Security Number:
2.
3.
4
Operation name (pk. mine or site name): R~ ~'erbend CTp"eraT.ion
Permitted acreaee lnew ore:istioe silel:
3.1 Change in acreage (+)
3.2 Total acreage in Permit area
Fees:
4.1 New Application
4.2 New Quarry Application
4.3 Milling Application (Non-DMO)
4.4 Amendment Fee
4.5 Conversion to I l2 operation (set by statute)
237 permitted acres
acres
5.
Primary commoditietsl to be mined: Sand Gravel
S.l Incidental commoditie(s) to be mined: I. Ibs/fons/vr
3. / Ibs/fons/vr 4. / Ibs(fons/vr
acres
$1.875.00 application fee
$2.325.00 quarry application
$3.100.00 milling application
$1.550.00 amendment fee
$1.875.00 conversion fee
2. / Ibsffons/vr
5. / Ibsn'ons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Construction Material
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A