2015-03-19_REVISION - M1995095

• Permit No: M1995095
• IBM Index Class Name: REVISION
• Doc Date: 3/19/2015
• Doc Name: Notices AR01
• From: DRMS
• To: Henry A Schuler, Schuler Terracing
• Type & Sequence: AR1
• Email Name: TC1
• Media Type: D
• Archive: No

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STATE OF CH�aQMDO
I C TU C I V L- L.1
DIVISION OF MINERALS AND GEOLOGY /
Department of Natural Resourr es SEP � 3
1313 Sherman St., Room 215 COLORADO epi
Denver, Colorado 80203 Division of Minerals and 0001 t s t o
Phone: [phone] CONSTRUCTION MATERIALS N ERA L S
FAX: [phone] GEOLOGY
FILE C 0 PY LLMMI) IMPACT (110) OPERATION
RECLAMATION -MI NfNO
SA FETY •SCIENCE
��� 5������ECL.AMATION PERMIT APPLICATION FORM
Bill Owens
Governor
Greg E. Walther
CHECK ONE: 1�— Them b a File Number Ahwdy Assigned to this Operation Executive Director
Permit # - - . - lj,� (Please reference the file number currently assigned to this operation) Ronald W Caaany
Division Director
New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Natural Resource Trustee
Conversion Application (Rule 1.11)
Permit # _M_- Q - (provide for Amendments and Convetsbns of existing permits)
The application for a Construction Materials Limited Impact (1 10) 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(l)(b); and (3) the application fee. When you submit your application, be sure t& include one
(1) co9 plete sig2ed and notarized IVORY ORDINAL and one (1) copy of the completed Ivo[1v 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 M be boti nd or in a 3 -ring binder; maps should be folded to 8 1/2" X 1 I " or 81 /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.
ApRikant/onerator or company nam�(aa ne to be used on
2 rant): 5 r—% LM '�E.
C►
1.1 Type of organization (corporation, partnership, etc.):
r� ��. (Az e P 1(;; Ta try
1.2 1.2 I.R.S. Tax ID No. or Social Security Number: 5
I 'Z.- .'L & -- 7&71K
2. Operaiono
(pit. mim or sift ROW: $ClkVLGR- '(•C
—_ tZ+2F�•G1nfC�- S +^�L
1 {"`1y qtr
3. Permitted acids (2M or ezistie= site):
�8 permitted acres
3.1
Change in acreage ( +)
___ ,�� acres
3.2
Total Acreage in Permit Area
9,51
- S acres
4. Fees:
4.1
New, Application.
�1 09 0(). z do fee
Amendment Fee (C-R.S. 34- 32.5 - 125(11)):
7S 19.00 application feed
4.2
Conversion Fee (from 110d to 110 $875.0 0 conversion fee (Rule 1. 11-2(2))
�^
QPr L'EL
5. Primary
commoditiets) to be mined:
5.1
incidental commoditie(s) to be mined: 1. / lbs/TonsA
2. / lbs/Tons/yr 3.
/ lbs/Tons/vr
4 / lbsrfons/vr
5. 1 lbs/Tonsf�r
5.2
Anticipated end use of primary commodities) to be mined:
f10 N 5 712. L) G
Anticipated end use of incidental conunoditie(s) to be mined:
1J f�
Office of Office of
Mined land Reclamation Active and Inactive Mines
Colorado
Geological Survey