2013-12-10_PERMIT FILE - M2013080 ‎(6)‎

• Permit No: M2013080
• IBM Index Class Name: Permit File
• Doc Date: 12/10/2013
• Doc Name: New Application Maps canned separately
• From: Pine Bluffs Gravel & Excavating, Inc
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203 C O L O R A D O
Phone: [phone] CONSTRUCTION MATERIALS p t v l s t o N o>
RECLAMATION
FAX: [phone] REGULAR (112) OPERATION MINING
RECLAMATION PERMIT APPLICATION FORM SAFETY
Bill Ritter, Jr.
CHECK ONE: ❑ There is a File Number Already Assigned to this Operation Gd1ernor
Harris D. Sherman
Pe M -_- (Please reference the file number currently assigned to this operation)ecusve Director
New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald W. Cattany
Division Director
Conversion Application (Rule Ll 1) Natural Resource Trustee
Permit # M - - - (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 signed and notarized ORIGINAL and one (1) copy of the completed
application form, two (2) 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, ALL information requested below.
1. Applicant/operator or company name (name to be used on permit): Pin e 8Zyf7f 's G- ra I/@ l fi ExeQUQ�ky Zh6
1.1 Type of organization (corporation, partnership, etc.):
Office of Office of
Mined land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines
Dn
�� 7'
2. Operation name (pit mine or site name): �i
3. Permitted acreaee (new or existing site):
permitted acres
3.1
Change in acreage ( +)
acres
3.2
Total acreage in Permit area
acres
4. Fees:
4.1
New Application
$2,696.00 application fee
4.2
New Quarry Application
N A. quarry application
4.4
Amendment Fee
amendment fee
4.5
Conversion to 112 operation (set by statute)
conversion fee
5. Primary
commodities) to be mined:
5.1
Incidental commodities) to be mined: 1.9 r�de� - Z0°/ 1bs/r�tZ
—�
2. San / So1OV6 Ibs�fTo—ZwJ
3. / lbs/Tons/vr 4. /
1bs/Tonpps/vr
5. / lbs%Tons/vr
5.2
Anticipated end use of primary commodities) to be mined:
R O Q-A
n
0.��
5.3
Anticipated end use of incidental commodities) to be mined:
Co-Yi G/` t%-
Office of Office of
Mined land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines