PERMFILE42552

• Permit No: M2006027
• IBM Index Class Name: Permit File
• Doc Date: 6/14/2006
• Doc Name: Inadequate submittals
• From: Dirt Merchant Inc.
• To: DMG
• Media Type: D
• Archive: No

RECEIVED
JUN 14 2006
CONSTRUCTION MATERIALS Division of Mieerels end 6eelosy
LIMITED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: There is a File Number Ah'eady Assigned to this Operattoe
Permit # M -_ _ _ (Please reference the file number curtently assigned to this operation)
_~ New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Com•ersion Application (Rule 1.11)
Permit # M -, -_ (provide for Ameedments and Conversions of existing permits)
The application for a Construction Materials Limited Impact (1 IO) Operation Reclamation Permit contains three major parts: (1) the
application form; (2) Exhibits A-J, ExhibitL, Addendum 1, any sections ofExhibit 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. V/hen you submit your application, be
sure to include one (1) complete sieved and notarized ORIGINAL aryl one (1) copy of the completed application form. hvo (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 81/2" X
11" 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 spate provided, ALL information described below.
1. AnDlicant/ocerator or comnanv name (name to be used on cermitl: /Q T QCF~/4/V T ~/I)C..
1.1 Tope of organization (corporation. partnership. etc. ): CO P aDdCA'r (LnJ
2. Onetation name (pit. mine or site Hamel: I ~ ELC-5 ~/T
3. Permitted acraage tnew or exlstin¢ site): a~. S permitted acres
3.1 Change in acreage (+) acres
3.2 Total Acreage in Permit Area ~. S acres
4. Fees:
4.1 New Application: I 0 4.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)): 719.00 application fee
4.2 Com'ersion Fee (from I I Od to 110 871.00 com ersion fee (Rule 1.11.2(2))
5. Priman' commoditie(s) to be mined: ! T i.(]~
5.1 Incidental commoditie(s) to be mined: 1. / Ibs~l'ons/vr 2. / Ibs/I'onsh~r 3. / Ibs/Tonsh~r
4. / Ibs/fonsh~r 5. / 1bsR'ons/s•r
5.2 Anticipated emi use of priman• commoditie(s) [o be mined: .4 U ~+ ~ 20 Z(v
Anticipated end use of incidental commoditie(s) to be mined: ti ~st•