REP18714

• Permit No: M1977170
• IBM Index Class Name: Report
• Doc Date: 11/12/1997
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATIONS RECLAMATION PERMIT APPLICATION FORM
• Permit Index Doc Type: ANNUAL FEE/REPORT
• Media Type: D
• Archive: No

~ III IIIIIIIIIIIIIiiI
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman Sr., Room 215
Denver, Colorado 80203
DE`~ED
Phone: [phone] RF
FA%: [phone]
Nov ~ 2 ~99~
~1c o~_ ~~
oT DEPARTMENT' OF
OCT 2.3 199 ~6~p,N~ATURAL
co~s~gN MATERIALS U t~SOURCES
~~ee1 _ ,.,. ~:~r~
~IV15100 p1 MIREGQLAR (112) OPERATION•.~.~"~..• RoY Romer
RECLAMATION PERMIT APPLICATION FORM Governor
lames 5. Lochhead
Eaeconve Director
Michael B. Long
Division DrreC~or
CHECK ONE: New Application (Rule 1.9.5) ~ Amendment Application (Rule 1.10)
Conversio~nf~A/pplication (Rule 1.11)
Permit #~- / / - /7 D -_ (provide for Ameadmeata 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 sinned and notarized IVORY ORIGINAL and four (4)
copies of the completed Ivorv 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 l4) 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
Type or print clearly, in the space provided, ALL information requested below.
1. A licaat/o orator or co as name name to be used on ermit
RI,~T.4LA Go sT NcTivN ro~pAN/
1 .1 Type of organization (corporation, partnership, etc
.): /Cry / /v
1 .2 Q
I.R.S. Tax I.D. No. or Social Security Number: _ 7/~' QS 2 ~ .Sf
2. o peration name (nit, mine or site name): RGIT~L/~ G' ~j A FL I r
3. Permitted acreage (new or existinv site): G7 Z. 7 permitted acres
3 .1 Change in acreage O+ or -) ~ G ~. 2 acres
3 .2 Total acreage in Permit area g. '?• 9 acres
4. Fees:
4 .1 New Application 51,875.00 application fee
4 .2 New Quarry Application 52,325.00 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,~75.00
onversion fee

5. Primar ~ c
~/~'~,~,~fJ~~LZ ~~i~WM/G
y commoditie(s) to be mined: ~~~ F A~ "T~•~ ~~ )0~
5 .1 Incidental commoditie(s) to be mined: 1~~LOQ~IVf. - SO~ODO 3~/Tons/vr I~IA~
2. / lbs/Tons/vr 3. ~(Y.rIC / lbs/Tons/vr /
4. / lbs/Tons/yr 5. / 1bslTons/vr

5.
2 ,1
Anticipated end use of primary commoditie(s) to be mined: /~G39O 641OSE~ GO•yG,tcrTE
5. 3 Anticipated end use of incidental commoditie(s) to be mined: ~fCa.F•97~NJE