REV99250

• Permit No: M1985218
• IBM Index Class Name: Revision
• Doc Date: 7/5/1996
• Doc Name: CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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STATE OF
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80207
Phone. [phone]
FAX: f303) 832.8106
~GrrF1VED
~u~ 0 5 lass
DEPARTMENT OF
NATURAL
RESOURCES
Division of Minerals ~ Neology
CONSTRUCTION MATERIALS
REGULAR OPBRATION (112)
ATION PERMIT APPLICATION FORM
Roy Romer
Governor
lames 5. Lochhead
E><ecwive Director
REVISED
Michael 8. Long;
Division D~reoor
CHECK ONE: New Application (Rule 1.4.5) ~ ]1~endseat Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit rf _j1_- r_- 218 -_ (provide for A~end~ents and Conversions of
existing permits)
The application fora a Regular 112 Operation Reclamation Permit contains three major parts: (1)
the application fo m; (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 (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.
GENERAL OPERATION INFORMATION
Type or print clearly in the space provided the information requested below.
------------------- -------- ------------------------_______________________________________
1. ADp1lCdnt/operator or company name (name to be used on permit):
1.1 Type of organization (corporation, partnership, etc.): f nrEynratinn
1.2 I.R.S. Tax I.D. No. or Social Security Number: Rd_3n1dS7f1
2. Operation name (pit, mine or site name): Rich Pit M-85-218
3. Permitted acreage (new or existing site) 89. permitted acres
3.1 Change n acreage (+ or -) 275.A8 acres
3.2 Total acreage in Permit area 3(ea..~ ~ acres
4. Fees•
4.1 New Application 51,875.00 application fee
4.2 New quarry Application 52,325.00 quarry application
4.3 MillingApplication (Non-DMO) 53,100.00 milling application
4.4 Amendment Fee 51,550.00 amendment fee
4.5 Convers~lon to 112 operation (set by statute) 51,500.00 conversion fee
5. Primar commodit~ie s to be mined:
5.1 Incidental commoditie(s) to be mined: 1. none - lbs/Tons/vr
2. / lbs/ Tons/yr 3. / lbs/Tone/vr
4. / lbs/ Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: cnnrra4a~aa~halt~rnads
5.3 Anticipated end use of incidental commoditie(s) to be mined: