2015-09-30_PERMIT FILE - M1985112 ‎(3)‎

• Permit No: M1985112
• IBM Index Class Name: Permit File
• Doc Date: 9/30/2015
• Doc Name: Application AM01
• From: Loloff Construction, Inc.
• To: DRMS
• Type & Sequence: AM1
• Email Name: PSH
• Email Name: WHE
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources RECEIVED 4-4811111111,
1313 Sherman St., Room 215
Denver, Colorado 80203 SEP 3 0 2015 C O L O RA Q O
DIVIS ION OF
Phone: [phone]
4.1
RECLAMATION
FAX: [phone]
utl DIVISION OF RECLAMATION
MINING
New Quarry Application
MINING AND SAFETY SAFETY
CONSTRUCTION MATERIALS
REGULAR (112) OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: I There is a File Number Already Assigned to this Operation
Permit # M - - - (Please reference the file number currently assigned to this operation)
New Application (Rule 1.4.5) a Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # M 1.985 112 - (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials 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 Exhibit; and (3) the application fee. When you
submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed
application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical 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 1/2" 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 requested below.
1. Applicant/operator or company name (name to be used on permit): Loloff Construction, Inc.
1.1 Type of organization (corporation, partnership, etc.): Corporation
2. Operation name (pit, mine or site name): LOloff Pit
3. Permitted acreaee (new or existing site):
3.1 Change in acreage (+)
3.2 Total acreage in Permit area
55.17 existing permitted acres
0 acres
55.17 total acres
4. Fees:
2.696.00 fee4.1 New Application application
4.2 New Quarry Application 3,342.00 quarry application
4.4 Amendment Fee 2,229.00 amendmente
4.5 Conversion to 112 operation (set by statute) 2,696.00 conversion ee
Sand Gravel Soil
5. Primary commoditie(s) to be mined:
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/yr 2. / lbs/Tons/vn
3. / lbs/Tons/yr 4. / lbs/Tons/v5. / lbs/Tonk))
5.2 Anticipated end use of primary commoditie(s) to be mined:
Construction Materials
5.3 Anticipated end use of incidental commoditie(s) to be mined:
N/A