2019-06-17_PERMIT FILE - M2019035

• Permit No: M2019035
• IBM Index Class Name: Permit File
• Doc Date: 6/17/2019
• Doc Name: Application
• From: Martinez Western Constructors
• To: DRMS
• Email Name: ACY
• Media Type: D
• Archive: No

k STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St.,Room 215
Denver,Colorado 80203 , � iL- o�I S'o N of
Phone:[phone] �1�/ ,/a r _,. RECLAMATION
FAX:[phone] MINING
TY
CONSTRUCTION MATERIALS
LIMITED IMPACT(110)OPERATION JUN 17 2019
RECLAMATION PERMIT APPLICATION FORM DIVISION OF RECLAMATION
MINING AND SAFETY
CHECK ONE: There is a File Number Already Assigned to this Operation
Permit# N (Please reference the file number currently assigned to this operation)
New Application(Rule 1.4.5) Amendment Application(Rule 1.10)
Conversion Application(Rule 1.11)
Permit# M - - (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. 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-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 1 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.
1. Applicant/operator or company name(name to be used on permit): Martinez Western Constructors,Inc.
1.1 Type of organization(corporation,partnership,etc.): DuCray Pit f#r.-
2. Operation name(pit,mine or site name): DuCray Pit#2
3. Permitted acreage(new or existing site): C permitted acres
3.1 Change in acreage(+) 2.45 acres
3.2 Total Acreage in Permit Area 2.45 acres
4. Fees:
4.1 New Application: $1258.00 application fee
Amendment Fee(C.R.S.34-32.5-125(II)): $827.00 application fee '
5. Primary commoditie(s)to be mined: Borrow
5.1 Incidental commoditie(s)to be mined: 1. Ibs/Tons/yr 2. / lbs/Tons/yr 3. / Ibs/Tons/vr
4. / lbs/Tons/yr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s)to be mined: Embankment
Anticipated end use of incidental commoditie(s)to be mined: No incidental Use