2015-01-13_PERMIT FILE - M2014068

• Permit No: M2014068
• IBM Index Class Name: Permit File
• Doc Date: 1/13/2015
• Doc Name: Completeness Docs.
• From: City of Holyoke
• To: DRMS
• Email Name: ERR
• 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] JAN 13 2015 DIVISION o x
FAX:[phone] MINING
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DIVISION OF RECLAMATION
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Y CONSTRUCTION MATERIALS
LIMITED IMPACT(110)OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: El There is a File Number Already Assigned to this Operation
Permit# M - - (Please reference the file number currently assigned to this operation)
✓ New Application(Rule 1.4.5) Amendment Application(Rule 1.10)
Conversion Application(Rule 1.11)
Permit# M - - - (provide for Amendments and Conversions of existing permits)
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
the 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 ORIGINAL and one(1)copy of the completed 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.
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided, ALL information described below.
1. Applicant/operator or company name(name to be used on permit): City of Holyoke
1.1 Type of organization(corporation,partnership,etc.): municipality
2. Operation name(pit,mine or site name): Arthur-Mae Gravel Pit
3. Permitted acreage(new or existing site): 9.9 permitted acres
3.1 Change in acreage(+) acres
3.2 Total Acreage in Permit Area 9.9 acres
4. Fees:
4.1 New Application: $1258.00 application fee
Amendment Fee(C.R.S.34-32.5-125(II)): $827.00 application fee
5. Primary commoditie(s)to be mined: Gravel Dirt Barrow
5.1 Incidental commoditie(s)to be mined: 1. / lbs/Tons/yr 2. / lbs/Tons/yr 3. / lbs/Tons/vr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s)to be mined: road maintenance, back-fill material
Anticipated end use of incidental commoditie(s)to be mined: