2020-10-13_PERMIT FILE - M2020051

• Permit No: M2020051
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/13/2020
• Doc Name: Application
• From: High Plains Stone Company
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING
Department of Natural Resources
1313 Sherman 5t., Room 215
Denver, Colorado 80203
Phone: (303) BW3567
FAX: [phone]
M-2020-051
CONSTRUCTION MATERIALS
LIMITED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
COLORAD❑
D IV 15 t ON OF
RECLAMATION
MINING
SAFETY
RECEIVED
Xf 13 2020
DIVISION OF RECL MgTION,
CHECK ONE: There is a File Number Already Assigned to this Operation MINING AND WETY
Permit # M - - - (Please reference the file number currently assigned to this operation.)
New Application (Rule 1.4.5) _ rAmendment Application (Rule L I0)
Conversion Application (Rule I A 1)
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 forth, 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; neaps should be folded to 8 1 /2" X 11 " or 8
112" 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.
Applicant/operator or company name (name to be used on permit): High Plains Stone Company
1.1 Type of organization (corporation, partnership, etc.): S Corporation _.,..
Operation name (pit, mine or site name]: South 40 Quarry _
3. Permitted acreage (new or existing site): 2 permitted acres
3.1 Change in acreage (+) acres
3.2 Total Acreage in Permit Area 2 acres
4. Fees:
4.1 New Application: 1258.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(11)): $827.00 application fee
5. Primary commoditiee(s) to hemined: Surface Moss Rock
5.1 Incidental commodities) to be mined: LN/A 1 lbsifonslvr 2. 1 lbs/Tons/vr 3. 1 lbs/Tonslvr
4.' _1 �lbs/Tons/vr 5. 1 lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) tobe mined: To be sold at High Plains Stone Company
Anticipated end use of incidental commodities) to be mined: NIA