2015-03-10_PERMIT FILE - M2015003

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CHECK ONE: Q— There is a File Number Already Assigned to this Operation Permit # M o7 -1 -00,3 (Please reference the file number currently assigned to this operation) 0— New Application (Rule 1.4.5) Amendment Application (Rule 1.10) !__!I— Conversion Application (Rule 1.11) 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 1 I" 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. Applicantloperator or company name (name to be used on permit): The New Cache La Poudre Irrigating Company 1.1 Type of organization (corporation, partnership, etc.): corporation 2. Operation name (ait, mine or site name): New Cache Agricultural Pond 1 - 3. Permitted acreage (new or existing site): 3.1 Change in acreage ( +) 3.2 Total acreage in Permit area 4. Fees: 16.2 permitted acres n/a acres 16.2 acres 4.1 STATE OF COLORADO DIVISION OF RECLAMATION, MINING AND SAFETY 4.2 Department of Natural Resources ��,¢��, /�® RECEIVED quarry application 1313 Sherman St., Room 215 Amendment Fee _$2,229.00 Denver, Colorado 80203 FEB 2 7 2015 COLORADO D I V I S I O N O F Phone: (303) 866 -3567 conversion fee RECLAMATION FAX: (303) 832 -8106 DIVISION OF RECLAMAnON MINING Incidental commoditie(s) to be mined: 1. n/a - MINING AND SAFETY SAFETY CONSTRUCTION MATERIALS lbs/Tons /yr 5. n/a / lbs/Tons /vr REGULAR (112) OPERATION Anticipated end use of primary commoditie(s) to be mined: fill for roads, oil &gas development, feedlot RECLAMATION PERMIT APPLICATION FORM CHECK ONE: Q— There is a File Number Already Assigned to this Operation Permit # M o7 -1 -00,3 (Please reference the file number currently assigned to this operation) 0— New Application (Rule 1.4.5) Amendment Application (Rule 1.10) !__!I— Conversion Application (Rule 1.11) 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 1 I" 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. Applicantloperator or company name (name to be used on permit): The New Cache La Poudre Irrigating Company 1.1 Type of organization (corporation, partnership, etc.): corporation 2. Operation name (ait, mine or site name): New Cache Agricultural Pond 1 - 3. Permitted acreage (new or existing site): 3.1 Change in acreage ( +) 3.2 Total acreage in Permit area 4. Fees: 16.2 permitted acres n/a acres 16.2 acres 4.1 New Application $2.696.00 application fee 4.2 New Quarry Application $3,342.00 quarry application 4.4 Amendment Fee _$2,229.00 amendment fee 4.5 Conversion to 112 operation (set by statute) _$2,696.00 conversion fee 5. Primary commoditie(s) to be mined: dirt gravel top soil 5.1 Incidental commoditie(s) to be mined: 1. n/a - Ibs/Tons/vr 2. n/a / lbs/Tons /vr 3. n/a / Ibs/Tons/vr 4. n/a / lbs/Tons /yr 5. n/a / lbs/Tons /vr 5.2 Anticipated end use of primary commoditie(s) to be mined: fill for roads, oil &gas development, feedlot 5.3 Anticipated end use of incidental commoditie(s) to be mined: n/a