2015-05-27_REVISION - M1983148

• Permit No: M1983148
• IBM Index Class Name: REVISION
• Doc Date: 5/27/2015
• Doc Name: Notice AR01
• From: DRMS
• To: Montrose County
• Type & Sequence: AR1
• Email Name: DMC
• Media Type: D
• Archive: No

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999
5TATE'OF-COLOR
DIVISION OF MINERALS AND GEOLOGY~v
Dc(mrimenl of Natural RezourCc%
1313 Sherman St., Room 115
Denver, Colorado H0303 }�t
Phone: [phone] { IrnP(��D (�1pR10e
FAX: (30 3) 83!-8106 vr,i> to
CONSTRUCTION MATERIALS
REGULAR OPERATION (112)
RECLAMATION PERMIT APPLICATION FORK
DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
James S lochhead
(�Pcutive Director
n+rc).tel B. long;
Drvmon Director
CHECK ONE: New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
X_ Conversion Application (Rule 1.11)
Permit t M - 83 - 148 - (provide for Amendments and Conversions of
existing permits)
The application for a 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- hibit; and (3) the application fee. When you submit your application, be sure to
include bn0;}1) complete signed and notarized IVORY ORIGINAL and four (4) copies of the completed
ivory ap ''cation form, five (5) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5
(Geot&q. ical 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 11"
or 8 1/21' 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 the information requested below.
1. Applicant/operator or.�ompanv name (name to be used on permit):
1.1T
Type of organization (corporation, partnership,
etc.): COUNTYVG�O7VERNMENT
1.2
I.R.S. TA?--I.D. No. or Social Security Number:
4,C)0
1 lbs/Tons/yr
3. /
lbs/Tons[yr
2. operation nam `(pit, mine or site name):E[� AL PIT
4.
�L�
3. Permitted acreage (new or existing site)
8.07 permitted acres
3.1
Change in acreage (+ or -)
31.33 acres
3.2
Total acreage in Permit area
acres
acres
4. Fees:
5.3 Anticipated
end use of incidental commodities) to be mined:
4.1
New Application
$1,875.00 application fee
4.2
New Quarry Application
$2,325.00 quarry application
4.3
Milling Application (Non -DMO)
S3,100.00 milling application
4.4
Amendment Fee
$1,550.00 amendment fee
4.5
Conversion to 112 operation (set by statute)
$1,875.00., conversion fee
5. Primary commoditie(s) to be mined: $AND GRAVEL
5.1 Incidental
commoditie s) to be
mined: 1. -
lbelTons/yr
2.
1 lbs/Tons/yr
3. /
lbs/Tons[yr
4.
/ lbs/Tons/yr
5. /_
lbs/Tons/yr
5.2 Anticipated
end use of primary
commodities) to be mined:
ROAD
MAINTENANCE
5.3 Anticipated
end use of incidental commodities) to be mined: