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2004-02-03_REVISION - M1981088
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2004-02-03_REVISION - M1981088
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Entry Properties
Last modified
6/15/2021 5:33:19 PM
Creation date
11/21/2007 9:19:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981088
IBM Index Class Name
Revision
Doc Date
2/3/2004
Doc Name
112 Appl Form
From
Lafarge West Inc.
To
DMG
Type & Sequence
AM2
Media Type
D
Archive
No
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TATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />/~/Yl _~ <br />RE~E~`~"~D <br />/ FEB 0 3 2004 <br />Division of Minerals & Geology <br />CONSTRIICTION MATEBIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM '~ <br />DIVISION O F <br />MINERALS <br />6c <br />GEOLOGY <br />0. EC LAMATION <br />MINING•SAFETY <br />Bill Owens <br />Governor <br />Greg E. Walther <br />Executive DireROr <br />CHECK ONE: Tbere is a F71e Number Already Assigned to thin Operation <br />Ronald W. Cattany <br />Permit # M -~-~-_ (Please reference the life nmmber etrrrently assigned to this operation) Ming Division Director <br />New Application (Rule 1.4.5) <br />Amendment Application (Rule 1.10) / <br />_ Conversion Application (Rule 1.11) <br />V Permit # M -~-~-_ (provide for Amendments and Conversions of existing permits) <br />The appbcation for a Conctrncfion Materials Regular 112 Operation Reclamatioa Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendmm 1, a~ sections of Exhtbit 6.5 (Creotechnical Stability Exhibit and (3) the application fee. When you submit your <br />application, be store to include one (1) complete signed and notarized IVORY ORIGINAL and one (I) copy of the completed I~ application <br />form, two (2) copies ofExhlbits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exlu'bit, and a check for the application <br />fee descnbed under Section (4) below. Exhibits should OT be bound or in a 3-ring binder; maps should be folded to 812" X 11" or 8 1/2" <br />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, in the space provided, ALL information requested below. <br />1. A~olicant/ocerator or comaanv name (name to be axed on cer/m~ it): ~-Q-Itl'aP I,UI~-{: t T-yl~ / <br />1.1 Type of organization (corporation, partnership, etc.): COe.AD22~aD1'1 <br />1.2 I.RS. Tax I.D. No. or Social Security Number: ~~- J.~3 ~ ~~5 <br />2. ODeration name (nit, mine or site name): <br />3. Permitted acreage (new or evstine site): <br /> <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />45 Conversion ro 112 operation (set b}' statute) <br />~ •~ ~ permitted acres <br />~ acres <br />~ ~~ ~ ~ acres <br />52.344.00 application fee <br />52 906.00 <br />51938.00 quarry application <br />amendmcal fee <br />52.344.00 conversion fee <br />~. Primary commoditie(s) to be mined: V"O ICQ.y'L(/' ~C~. ~ thQ (~i ) <br />5.1 Incidental commoditie(s) to be mined: 1. - Ibs/Totls/vr 2. / Ibs/Tons/k <br />3. / Ibs/Tons/yr 4. ! lbslfooslvr 5. ! 1bsJTons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: ~('.8(Yl ~L uP , m) Tt-~~1 b~CY S <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: ""' N A- <br />
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