2016-09-13_PERMIT FILE - M2016022 ‎(2)‎

• Permit No: M2016022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/13/2016
• Doc Name: Addendum To Application
• From: Arnold's Custom Seeding
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St,Room 215
Denver,Colorado 80203 C O L O R A D O
Phone [phone] D I V Is I ON of
FAX [phone] RECLAMATION
MINING
—Sz—
SAFETY
CONSTRUCTION MATERIALS
LIMITED IMPACT(110)OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: There is a File Number Already Assigned to this Operation
Permit# W16 022 (Please reference the file number currently assigned to this operation)
✓ New Application(Rule 1.4.5) Amendment Application(Rule LI0)
Conversion Application(Rule L I I)
Permit# NI _ 2016_ 022 _ (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1)the
application form;(2)Exhibits A-J,Exhibit L.Addendum 1,any sections of Exhibit 6.5 and 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);and(3)the application fee. Whenyou submityour 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-J, Exhibit L. Addendum 1,and appropriate sections of 6.5 (Geotechnical Stability Exhibit),as required,and a check for the
application fee described under(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 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.
I. Applicant/operator or company name(name to be used on permit): Arnolds Custom Seeding, LLC
1.1 Type of organization(corporation,partnership,etc.): Arnold Pit No. 1
2. Operation name(pit,mine or site name): Arnold Pit No. 1
3. Permitted acreage(new or existing site): 9.99 permitted acres
3.1 Change in acreage(+) acres
3.2 Total Acreage in Pen-nit Area 9.99 acres
4. Fees:
4.1 New Application: $1258.00 application fee
Amendment Fee(C.R.S. 34-32.5-125(ll)): $827.00 application fee
5. Primary commoditie(s)to be mined: Top Soil
5.1 Incidental commoditie(s)to be mined: 1. NA / lbs/Tons/vr 2. / lbs/Tons/yr 3. / lbs/Tons/vr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s)to be mined: Top Soil used on construction locations
Anticipated end use of incidental commoditie(s)to be mined: NA