Laserfiche WebLink
STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources RECEIVED <br /> 1313 Sherman SL,Room 215 <br /> Denver,Colorado 80203 C O L O R A D O <br /> Phone:(303) 6.3567 J U L 0 2 2 0 24 D I V r S r O N o f <br /> 86 <br /> FAX (303)832-8106 RECLAMATION <br /> MINING <br /> Colorado Division of Reclamation, —5,—. <br /> LItiriTEDLMpACT OPERATION W hnd Safety SAFETY <br /> RECLAMATION PERMIT <br /> APPLICATION FORM <br /> M-2024-035 <br /> CHECK ONE: 'E�New Application(Rule 1.4) Conversion Application(Rule 1.11) E RR/ZTT <br /> Permit#M- (provide for conversions of existing permits) <br /> The application for a Limited Impact Designated Mining Operation Reclamation Permit contains three major parts: (1) the application <br /> form;(2)Exhibits A J,any required sections of Exhibit S and Geotechnical Stability Exhibit,as required by the Office,and outlined in <br /> Rules 6.1,6.2,6.3,6A.19 and 6.5;and(3)the application fee. When you submit your application,be sure to include one(1)shared and <br /> notarized original and one(1)copy of the application form,two(2)copies of Exhibits A-J,appropriate sections of 6.4.19 Exhibit S and 6.5 <br /> (Geotechnical Stability Exhibit),as required,and a check for the application fee described under(4)below.Exhibits should not be bound <br /> or in a 3-ring binder;maps should be folded to 8 1/2"X i l"or 8 1/2"X 14"size. To expedite processing,please provide the infrnnation <br /> 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 /> 1. Applicant/operator or company name(name to be used on the permit): Ol 6frokwLf_ N4k— 11 iSn) <br /> 1.1 Type of organization(corporation,partnership,etc.): ' <br /> 2. Operation mate(pit,mine or site name): <br /> 3. Permitted acreage(new or existing site): r pem»tted acres <br /> 4. Fees: <br /> 4.1 New Application $1� .006.00- apigicationfee <br /> 4.2 Amendment Application(from 1.10(2)) <br /> 4.3 Conversion Fee(from 110d to 110(2),(Rule 1.11.2(2)) $1.725.00 conversion fee <br /> 5. Primary commoditle(s)to be mined: M_ (_ a M 14 <br /> 6. Name of owner to the surface of affected land: S. <br /> '7. Name of owner to the subs ace is of e i d• 4�� <br /> 8. Type of mining operation: ED Surface IJ Underground In-situ <br /> Office of Office of <br /> Mined(.and Reclamation Denver • Grand Junction 9 Durango Active and inactive Mines <br />