2018-10-01_PERMIT FILE - M2018050

• Permit No: M2018050
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/1/2018
• Doc Name: Application
• From: Town of Julesburg
• To: DRMS
• Email Name: JLE
• Email Name: MAC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Department of Natural ResourOx
1313 Shem►art St.,Room 215
Denver,Colorado 80203 M =050
2018COLORADODiv1 StON O f
Phone:[phone] � RECLAMATION
FAX.[phone] w .d MINING
Goddard Pit#1 %JLE/mac ' &J V'SAFETY
CONSTRUC-TIONI rM,ALb OCT © 18
SPECIAL(111)OPERATION DIVISION OF
RECLAMATION PERMIT APPLICATION FORM
MINING AND SAFETY ON
The application for a Construction Materials Special 11 I Operation Reclamation Permit contains four major parts:(1)the application form;
(2)Exhibits A-L,Addendum 1,and any sections of Exhibit 6.5(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); (3)the application fee;(4)the Performance Warranty and if required a Financial Warranty.When
you submit your application,be sure to include one(1)completed,signed and notarized ORIGINAL and one(1)copy of the completed
application form,two(2)copies of Exhibits A-L,Addendum 1,appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit),as
required,a check for the application fee described under(4)below,and the fully executed Performance Warranty and Financial Warranty,if
required. Exhibits should NOT be bound or in 3-ring binders;maps should be folded to 8 2" X l l" or 8 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
1. Applicant/operator or company name(name to be used on the permit):
Town of Julesburg
1.1 Type of organization(corporation,partnership,etc.): Municipality
2. Operation name(pit,mine or site name): Goddard Pit#1
3. Permitted acreage: 9.9 Permitted Acres
4. New Application: $898.00 Application Fee
5. Primary commodities)to be mined: Gravel, clay, sand
6. Name of owner to the surface of affected land: Jay and Melisa Goddard
7. Name of owner to the subsurface rights of affected land: Jay and Melisa Goddard
8. Tvpe of minine operation: n Surface Q Underground II In-situ
9. Location information: The center of the area where the majority of mining will occur:
CO Sedgwick
PRINCIPAL MERIDIAN(check one): ✓ 6th(Colorado) I Oth(New Mexico) F Ute
SECTION(write number): S 4
TOWNSHIP(write number and check direction): T 11 ✓ North South
RANGE(write number and check direction): R 44 East 46v West
QUARTER SECTION(check one): ✓ NE NW SE SW
QUARTER/QUARTER SECTION(check one): NE NW SE ✓ SW
GENERAL DESCRIPTION:(the number of miles an irection from the nearest town and the approximate elevation):
Office of Office of
Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines