1999-06-15_PERMIT FILE - M1999069

• Permit No: M1999069
• IBM Index Class Name: Permit File
• Doc Date: 6/15/1999
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII • STATE, d� COLOi.A"-'
DIVISION Of MINERALS AND GEOLOGY
Department or Naiur l Resources
1313 Sherman 51. Room 215 JJJJ,•••(((/// ( o
Denver.Colorado 90201
Phone.[phone]b' 7"7
FAX [phone]
DEPARTMENT OF
RECEIVED NATURAL
CONSTRUCTION MATERIALS RESOURCES
JUN 15 1999 REGULAR (112) OPERATION Roy Romer
RECLAMATION PERMIT APPLICATION FORM Governor
Division of Minerals&Geology lames S Lochhead
E.ecwlve Director
M,chael B.Long
Div,sion Director
CHECK ONE: X New Application (Rule 1.4 .5) Amendment Application (Rule 1 . 10)
Corj�lve(�re iC$��n Applic�a t^i oan (Rule 1.11)
Permit # 1 l - l� -ll3( 1 -_ (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.
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GENERAL OPERATION INFORMATION
Type or print clearly, in the apace provided, ALL information requested below.
1 . Applicant/operator or company name (name to be used on permit) :
Jake Kauffman & Son, Inc.
1.1 Type of organization (corporation, partnership, etc. ) : Corr)oration
1.2 I.R.S. Tax I.D. No. or Social Security Number: 84-OS60714
2 . Operation name (pit, mine or site name) : Wagner/Kauffman Pit #3
3 . Permitted acreage (now or existing site) : 232.5 permitted acres
3 .1 Change in acreage (+ or -) - acres
3 .2 Total acreage in Permit area 232.5 acres
4 . Fees:
4. 1 New Application $1, 875.00 application fee
New Quarry Application $2, 325.00 quarry application
4. 3 Milling Application (Non-DMO) $3, 100.00 milling application
4 .4 Amendment Fee $1,550.00 amendment fee
4 . 5 Conversion to 112 operation (set by statute) $1, 875.00 conversion fee
5 . Primary commodities) to be mined: Sand Caravel
5 . 1 Incidental commodities) to be mined: 1 . n/a lbs/Tons/yr_
2. / lbs/Tons/yr 3. / lbs/Tons/yr
4 . / lbs/Tons/yr 5 . / lbs/Tons/yr
5 . 2 Anticipated end use of primary commodities) to be mined: Construction Materials
5 . 3 Anticipated end use of incidental commoditie(s) to be mined: n/a