2015-04-28_PERMIT FILE - M2015022

• Permit No: M2015022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/28/2015
• Doc Name: Construction Materials
• From: Lazy H Inc
• To: DRMS
• Email Name: PSH
• Email Name: WHE
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
STATE OF-COLORADO
Department of Natural Resources
RECEIVED
1313 Sherman St., Room 215
COLORADO
Denver, Colorado 80203
Phone: [phone]
APR 2 8 2015
O rr
RECLAMATION
FAX: [phone]
MINING
DIVISION OF RECLAMATION
SAFETY
MINING AND SAFETY
CONSTRUCTION MATERIALS
SPECIAL (111) OPERATION
RECLAMATION PERMIT APPLICATION FORM
M- 2015 -022
The application for a Construction Materials Special 1 I 1 Operation Reclamation Permit contains four major parts: (1) the application form;
(2) Exhibits A -L, Addendum 1, and any sections of Exhibit 6.5 (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); (3) the application fee; (4) the Performance Warranty and if required a Financial Warranty. When
you submit your application, be sure to include one (1) completed, signed and notarized ORIGINAL and one (1) copy of the completed
application form, two (2) copies of Exhibits A -L, Addendum 1, appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as
required, a check for the application fee described under (4) below, and the fully executed Performance Warranty and Financial Warranty, i f
required. Exhibits should NOT be bound or in 3 -ring binders; maps should be folded to 8 2" X I I" or 8 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
I . Applicant /operator or company name (name to be used on the permitl:
Lary H Inc
RE
Type of organization (corporation, partnership, etc.): Corporation
2. Operation name (pit, mine or site name): Bootleg Quarry
3. Permitted acreage:
4. New Application:
5. Primary commoditie(s) to be mined: Sand, overburden
13.5 permitted Acres
$898.00 Application Fee
6. Name of owner to the surface of affected land: Henrylyn Irrigation District
7. Name of owner to the subsurface rights of affected land: Henrylyn Irrigation District
8. Type of mining operation: n Surface a Underground a In -situ
9. Location information: The center of the area where the majority of mining will occur:
Adams
PRINCIPAL MERIDIAN (check one): CO 6th (Colorado) 10th (New Mexico) a Ute
SECTION (write number): S 1
TOWNSHIP (write number and check direction): T 1 North South
RANGE (write number and check direction): R 65 East ✓ West
QUARTER SECTION (check one): NE NW SE A SW
QUARTER/QUARTER SECTION (check one): NE NW ✓ SE SW
GENERAL DESCRIPTION: (the number of miles and rrection from the nearest town and the approximate elevation):
From Larhhuoe, CO travel 5 mil _s i _ast on East IISM Avenue and 1 mile south on Hudson
Road. Entrance will be on the east side of Hudson Road at approximately 5,110 feet in
elevation.
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines