REV92538

• Permit No: M1978357
• IBM Index Class Name: Revision
• Doc Date: 6/12/1998
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMTION PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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STATE OF COLOIZ~Uv '
DIVISION OF MINERALS AND GEOLOGY
Department of Nawral Resources
1313 Sherman 51., Room 215 Ilr~~~
Denver, Colorado 80203 I
Phone: [phone]
FAx: [phone]
DEPARTMENT OF
Received ~ ~ ~soyUR~c s
CONSTRQCTZON MATERIALS
AEGQLAR (112 ) OPERATION Roy Romer
JUN 12 ~ RECLAMATION PERMIT APPLICATION FORM Governor
dames 5. lochhead
n.. /~ OEN Y En Executive Direcror
~y,r Wn~ ~a Ve~ C ~~ Michael 8. Long
VIYI~bn 0} M)MIi15 Qr Ori•i Division Director
CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
X Conversion Application (Rule 1.11) '
Permit # ~_-~]$_- 357 -___ (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 sinned and notarized IVORY ORIGINAL and four (4)
copies of the completed Ivor application form, five (S) 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 (9) 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 ,

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-- Type or print clearly, is the apace provided, ALL information sequeeted below.
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DD11CaIIt/ODeratOr or COmpaay IIame (IIame t0 be used oa ----------------------------------
Dermit):

1 .1 Type of organization (corporation, partnership, etc.): Corporation
1 .2 I.R.S. Tax I.D. No. or Social Security Number:
2. O peration name (nit, mine or nits name): Bradbury Pit
3. Permitted acreage (new or existing site): 38 permitted acres
3 .1 Change in acreage (+ or -) 3A acres
3 .2 Total acreage in Permit area acres
4. Fees:
4 .1 New Application 51,875.00 application fee
9 .2 New Quarry Application 52,325.00 quarry application
4 .3 Milling Application (Non-DMO) 53,100.00 milling application
4 .4 Amendment Fee 51.550.00 amendment fee
4 .5 Conversion to 112 operation (set by statute) 51,875.00 conversion fee
5. Primar y commoditie(s) to be mined: Sand & Gravel
5 .1 Incidental commoditie(s) to be mined: 1. -250,000 lbs/Tons/yr
2. / lbs(Tonslyr 3. f 1bsfTonslvr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5. 2 Anticipated end use of primary commoditie(s) to be mined: Road Construction
5. 3 Anticipated end use of incidental commoditie(s) to be mined: