Laserfiche WebLink
STATE OF COLORADO <br />OIVISHM OF RECLAMATION, MINING AND SAFETY <br />Depaftwd of Nat" Resources .11/�_ a hO � — o <br />1313 Sherman St., Room 215 COLORADO <br />D e n v e r . Colorado 80203 D I V I S I O N OF <br />Phone. (303) 8663567 CONSTRUCTION MATERIALS <br />RECLAMATION <br />FAX: (303) 832.8!06 MINING <br />REGULAR (112) OPERATION SAFETY <br />RECLAMATION PERMIT APPLICATION FORM <br />of" Riner, Ir. <br />CWATV r <br />CUEECK There is a File Number Already Assigned to this Operation Hwis o. Shemim <br />Executive Dimc w <br />Permit S M - _ (Please reference the t3k number currently assigned to this operate W. C y <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Division iTirectw <br />Natural Resource Trustee <br />Conversion Application (Rule 1.11) <br />Permit 0 _ - -T (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits AS, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be surge to include one (1) cgnlete snarled and sowed ORIGINAL and one (1) copy of t he completed <br />application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3 -ring bind, neaps should be folded to <br />8 112" X 11 ° or 8 112" X 14" size. To expedite processing, please provide the infortmtion in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, In the space provided, ALL, Information requested below. <br />1. Am- Heantlousrator or eomnany name (name to be used oa nermitl: 'A6t/WU_ � 1'- 41-11. <br />1.1 Type of organization (corporation, partnership, etc.): —4, 22,,' /,.;a li'Jj <br />2. Oneratlam name foil, mine or site tramel: t,%v�t / j /�,s e 7 <br />J <br />3. Pert(etil ayere�e (m�v or existing sltel: <br />3.1 Change in acreage ( +) <br />3.2 Total acreage in Permit area <br />4. Fes, <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Aanendrnent Fee <br />4.5 Conversion to 112 operation (suet by statute) <br />5. Primary commoditi() to be minted: W& <br />lea permitted acres <br />acres <br />ty' /0 3 acres <br />96.00 application fee <br />S3342A0 quarry application <br />52.22914 _ arnendulvent fee <br />S_2.69U0 conversion fee <br />5.1 lncidenta3 eonvmditie(s) to be mined: L A/1A 2. - 1. ibstT4 �IVr <br />3. I 1�/ToQsE}R 4. _ ! fbs/Tonshrr S. ! 11ifons <br />5.2 Anticipated em( use of primary commodities) to be nnined: i <br />5.3 Anticipated end use of incidental commodities) to be mined: <br />Ofscp of Office of <br />Mined LaM Reclamation Denver • Graad lunciion • Durango Active and Inactive Mims <br />