Laserfiche WebLink
STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING <br />Department of Natural Resources <br />1313 Sherman 5t., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) BW3567 <br />FAX: (303) 832-8106 <br />M-2020-051 <br />CONSTRUCTION MATERIALS <br />LIMITED IMPACT (110) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />COLORAD❑ <br />D IV 15 t ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />Xf 13 2020 <br />DIVISION OF RECL MgTION, <br />CHECK ONE: There is a File Number Already Assigned to this Operation MINING AND WETY <br />Permit # M - - - (Please reference the file number currently assigned to this operation.) <br />New Application (Rule 1.4.5) _ rAmendment Application (Rule L I0) <br />Conversion Application (Rule I A 1) <br />Permit # M - (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by <br />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 <br />to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application forth, two (2) copies of <br />Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for the <br />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 <br />112" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />Applicant/operator or company name (name to be used on permit): High Plains Stone Company <br />1.1 Type of organization (corporation, partnership, etc.): S Corporation _.,.. <br />Operation name (pit, mine or site name]: South 40 Quarry _ <br />3. Permitted acreage (new or existing site): 2 permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total Acreage in Permit Area 2 acres <br />4. Fees: <br />4.1 New Application: 1258.00 application fee <br />Amendment Fee (C.R.S. 34-32.5-125(11)): $827.00 application fee <br />5. Primary commoditiee(s) to hemined: Surface Moss Rock <br />5.1 Incidental commodities) to be mined: LN/A 1 lbsifonslvr 2. 1 lbs/Tons/vr 3. 1 lbs/Tonslvr <br />4.' _1 �lbs/Tons/vr 5. 1 lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) tobe mined: To be sold at High Plains Stone Company <br />Anticipated end use of incidental commodities) to be mined: NIA <br />