PERMFILE109015

• Permit No: M1998034
• IBM Index Class Name: Permit File
• Doc Date: 4/15/1998
• Doc Name: 110 Permit Application
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY e c ~ 2 77 3
Depanment of Natural Resources I,
G (~ ~ ~ () 3 Z
1313 Sherman St.. Room 215
Denver, Colorado 80203
RECEIVED II~~~
Phone: [phone]
FAX'.1303) 832-6106
APR ]. 5 1998
DEPARTMENT OF
NATURAL
Division of Minerals & Geology RESOURCES
CONST RIICTION IQ)-TffitI11LS

LItlITBD LflPl-CT (110) OPSRI-TION Roy Romer
Governor
RBCLAtl)-TION PSRMiT LPPLIGTION FORlS lames 5. L«hhead
Executive Direcor
Michxl B. Long
Division Director
CHECK ONE: X Nem Application (Rule 1 .4) l~meadment Application (C.R.S. 39-32.5-110)
Coavarsioa Application (Rule 1.11)
Permit # - -_ (provide for l-mendmeats and Coaveraioas of
existing permits) ~,_ ~ 8_ 0 3 y
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit
contains three major parts: (1) the application form; (2) Exhibits A-J, Exhibit L, Addendum 1,
any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by [he Office, and
outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you
submit your application, be sure to include one (1) complete"signed and notarized IVORY ORIGINAL
and one (1) copy of the completed Ivory application form, two (2) copies of Exhibits A-J,
Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as
required, and a check for the application fee described under (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 yriat clearly, is the space provided, ]ILL information described belo~r.
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1. Ayalicaat/operator or caemaav name (acme to ba used on aarmit):
Nblmtain Park Concrete, Inc.
1.1 Type of organization (corporation, partnership, etc.): Corporation
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation name (sit, mine or site game): Parsllal Pit
3. Permitted acreage (acv or eaietina site): 9•~S permitted acres
3.1 Change in acreage {+ or -) ~ acres
Total Acreage in Permit Area 9.95 acres
4. Fees:
4.1 New Application 5875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) 5575.00 application fee
4.2 Conversion Fee (from 110d to 110 SS 75.00 conversion fee (Rule 1.11.2(2))
5. Primazv commoditie(s) to be mined: Sand Gravel
5.1 Incidental commoditiels) to be mined: 1. N/A lbs/Tons/yr
2. / lbs/Tons/yr 3. / lbs/Tons/yr
4. { lbs/Tons/vr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: Concrete aq~egate & road
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A base