Laserfiche WebLink
Ark-totiv <br />s.Uom1$cu <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />RECEIVED <br />DEC 2 6 2006 v <br />CONSTRUCTION MATERahiSiOn of Reclamation, <br />REGULAR (112) OPERATION Mining and Safety <br />RECLAMATION PERMIT APPLICATION FORM <br />CHECK ONE: There is a File Number Already Assigned to this Operation <br />d <br />Permit # M P6 (Please reference the file number currently assigned to this <br />New Application (Rule 1.4.5) Amendment Application (Rule I. <br />Conversion Application (Rule 1.11) <br />Permit # M - agi -()1 - (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 A -S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (I) copy of the 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 binder; maps should be folded to <br />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. <br />COLORADO <br />DIVISION OF <br />RECLAMAT ION <br />MINING <br />SAF ETY <br />Bill Owens <br />Governor <br />Russell George <br />Operaf ive Director <br />Ronald W. Cattany <br />10) Division Director <br />Natural Resource Trustee <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />Applicant/operator or company name (name to be used on permit): L 1- . W NC- �r <br />L1 Type of organization (corporation, partnership, etc.): Cb .Paa.C21 <br />2. Operation name (pit—mine or site name): M tMINE <br />3. Permitted acrea¢e (new or existinE sitel: <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: /V/f-t <br />5.1 Incidental commodities) to be mined: 1. lbs/Tons/yr 2. <br />3. / lbs/Tons/vr 4. / Ibs✓'Tons/yr 5. <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />5.3 Anticipated end use of incidental commoditic(s) to be mined: _�_ <br />78. 7'a permitted acres <br />acres <br />18.18 acres <br />$2,344.00 application fee <br />$2,906.00 quarry application <br />l ,938.00 amendment fee <br />$2,344.00 conversion fee <br />lbs/Tons/yr <br />' lbs/Tons/yr <br />Office of Office of <br />Active and Inactive Mmes <br />Mined Land Reclamation <br />