2015-01-09_REVISION - M1980183

• Permit No: M1980183
• IBM Index Class Name: REVISION
• Doc Date: 1/9/2015
• Doc Name: Notices AM02
• From: DRMS
• To: various
• Type & Sequence: AM2
• Email Name: TOD
• Media Type: D
• Archive: No

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DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sharman St. Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
AM� 2-
STATE OF COLORADO
a` E
JAN 0 7 2015
F'
DIVISION OF RECLAMATION
INING AND SAFETY
CONSTRUCTION MATERIALS
REGULAR (112) OPERATION
RECLAMATION PERMIT APPLICATION FORM
tCOLORADO
DIVI I O N OF
MATION
NING
SAFETY
CHECK ONE: Qx _ There is a File Number Already Assigned to this Operation
Permit # M19_80 183 (Please reference the file number currently assigned to this operation)
F-- New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # M - 1980 1.83 (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 OXIGIN;AZ and one (l) 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. Appllcant/operator or company name (name to be used on permit):
1.1 Type of organization (corporation, partnership, etc.): LLC
2. Operation name (pit, mine or site name): Pit 29
3. Permitted acreage (new or existing site):
0 3.1 Change in acreage ( +)
3.2 Total acreage in Permit area
4. Fees;
4.1 New Application
4.2 New Quarry Application
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
5.
176.24 permitted acres
2.2 acres
178.42 _ acres
$2.b96.0! application fee
$3,342.00 quarry application
$2.229.00 amendment fee
I2.i'lf. . conversion fcc
Primary commodities) to be mined: Aggregate Sand
5.1 Incidental commodities) to be mined: 1. _ bs/l'ons/vr 2. ! ibs/Tons/�r
3. / Ibs/Tons/yr 4. / lbsrl'onsAYT 5. _ / lbs/Tons/yr
5.2 Anticipated end use of primary eommoditie(s) to be mined- Asphalt and Concrete
5.3 Anticipated end use of incidental commodities) to be mined: Fill