2015-05-04_PERMIT FILE - M2015022

• Permit No: M2015022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 5/4/2015
• Doc Name: Letter Responses
• From: Lazy H Inc
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SALTY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAV(: [phone]
STATE OF COLORADO
CONSTRUCTION MATERIALS
SPECIAL (111) OPERATION
RECLAMATION PERMIT APPLICATION FORM
COLORADO
DIVISION OF
RECLAMATION
MINING
SAFETY
The application for a Construction Materials Special l I I 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 fiilly executed Performance Warranty and Financial Warranty, if
required Exhibits should PM be bound or in 3 -ring binders; maps should be folded to 8 2" X 11" 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
1. Applicant(operator or companv name (name to be used on the permit):
Lary H Inc
1.1 Type of organization (corporation, partnership, etc.):
Corporation
2. Operation name (pit mine or site name): Bootleg Quarry
3. Permitted acreage: 13.5 Permitted Acres
4. New Application: Application Fee
5. Primary commoditie(s) to be mined: Sand, overburden
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: M Surface a Underground n In-situ
9. Location information: The center of the area where the majority of mining will occur:
CO Ada�(Colorado)
PRINCIPAL MERIDIAN (check one): 'n 6th10th (New Mexico) II Ute
SECTION (write number): S
TOWNSHIP (write number and check direction): T
RANGE (write number and check direction): R 65
QUARTER SECTION (check one): M
QUARTER/QUARTER SECTION (check one): M
GENERAL DESCRIPTION: (the number of miles a rection
North✓ South
East ✓ West
NW SE ✓ SW
NW SE ✓ SW
from the nearest town and the approximate elevation):
Fmm Lor:hhtiie, U) travel 5 miles east on ast 1FRth Avenue and 1 mile south on Htirin
Road. Entrance will be on the east side of Hudson Road at approximately 5,110 feet in
elevation.
Offroe of office of
Mined land Reclamation Denver - Grand lunc ion - DumW Active and Inactive Mines