2016-08-11_REVISION - M2004052 - Laserfiche WebLink

Home Browse Search

STATE OF COLORADO DIVISION OF RECLAMATION,MINING AND SAFETY epa onmentof Natural Reaoureee 6 Name mr r,„„er nil„Iwtlrraee ngl,t.nr,frmrtern:,,,fl. Mary Belle Rafert Revocable Trust 13 11 2.frr more owner. 'ra ta•r u,I sh hi )r Den Claan 51.,Roan 215 C O L O R A D O Dmlver ce,alado e0203 p t v i 11 o N p r Name or„„nee„r.nr rAee nrarreeteJ lann. Mary Belle Rafert Revocable Trust %iaw:(303)99635e7 RECLAMATION -- -- FAX:(303)832 8100 MINING SAFETY x I1pr of mining operation Sur Lice l ndnpnun,l CONSTRUCTION MATERIALS 't Location Infurnrauun. I he cen[er of the ai ra„here the m:gnnt)of nnume... o:au REGULAR(112)OPERATION iiil\I\ Phillips RECLAMATION PCRMITAPPLICATION FORM PRINCIPAI.y11 RIDIAN(check one) _R Ire CHECK ONE:�✓_'There Is a File Number Already Assigned to this Operation st( I1O\(,rite mmmbcn: `Thirty-three Permit h MzDe< 052 - (Please reference the file member currcmly assigned to this operation) li 1\C\11111'iwnle numhcr and check dheclionl. T 8 [D\onh SnuW New Application(Rode L4.5) ❑_Amendment Application(Rule 1.10) R\\GL twnle nundx,laid check dire n.nP IL 4� Ls o \Sea Conversion Application(Rule 1.11) �. ✓❑ ❑. ElPermitR Nt - 2004 052 ?CARIIRSI.('1 Il)\(heck onep \1 \\\ S S6 (provide for Amendments and Conversions of existing permits) �- � ❑--�-- t u AR I LR,'QUAR ITR SL('I ION(,heck one): \11 __Sl S\\' The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts:(1)the application -- - final;(2)Exhibits A-S,Addendum I,any sections of Exhibit 6.5(Geoteclmical Stability Exhibit;and(3)the application fee.When you GF\'FRAL DESCRIP LION:(the number ul null'•:Ind Jlfe<Uoll trout then......lawn apd IIIc algrrU\IIIIatC CIC\ahpll). _.__ submit your application,be sure to include one(1)complete signed and notarized ORIGINAL and one(1)copy of the completed From Holyoke 7 mi E on US 6;2 mi N on CR 53;1/2 mi E on CR 26]112 mi N to Pit,Approx Elev-3640 application form,two(2)copies of Exhibits A-S,Addendum 1,appropriate sections of6.5(Gemechnical 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 I I'or 8 1!2•'X 14"size.To expedite processing,please provide the infomlation in the format and order described at this form. 10 Pi unary Mine Entrance Im•arion Ucpnn in either Lauuuir Longiuide Olt t!TM), GENERAL OPERATION INFORMATION I,:n nutfr/Lo1�ywJG: Type at print clearly,in the Space provided,ALL information requested below. Ifxanlple. IN'1 74- 44 129k'. S 1. Applicant/onenm name r or romnmry ae(prang to be used on permit): Count: P Y (\v 1 104 59' 1.87 1.1 Type oforganizabon(corpora(ion,pannefship,etc.): Government -__-_-- LmimdelNL d'e40-__. min 37 .cc 11. 4288 I2(1-final plate.) I-incude I I. deg 102 min 09 ta,c. 18. 9835 Odes i d plaav 2. Operation name fait.mine or site name): Rafert Pit OR 3, Permitted ncraaee(new or esisline site): 9.9 permitted acres Example. (N) 19.73691` 3.1 Change in acreage(+) -2--•5--• 22.5 acres (\I'1 -10498449" 3.2 Total acreage in Permit area -29-#-32'/ acres Lmitude IN l (5 decimal placr>I 4. Fees: Longatide(N'I .__... IS decimal places) 4.1 New Application $2.696.00 application fee OR 4.2 New Quarry Application S3.342.00 quarry application 4.4 Amendment Fee 52.729.00 amendment lee Universal 2}ppv4rsc_Mercator t(J IMI 4.5 Conversion to 112 operation(set by statute) 2 9 conversion fee Example: 201336.3 1{ NAD27 Zone 13 5. Primory commoditic(s)to be mined: Gravel Sand 4398351.2 N 5.1 Incidental commoditie(s)to be mined: I. Ibs(FonsNr 2. 1 Ibsrr n§�u uTM Datum(spccd)NAD27,NAD83 or\5'(iS 84) Nad 83 Zone 13 3. / Ibs/Tons/vr 4. / IbsRoas'vr 5. / IbslTons/vr Eastim, 5.2 Anticipated end use of primary commodine(s)to be mined: Road gravel and base Northing __-,-- 5.3 Anticipated end use of incidental commodilie(s)to be mined:NA