Laserfiche WebLink
~ III Ililllllllllllll <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RECEIV <br /> <br />Depanmern of Natural Resources ED <br />1 } 13 Sherman St., Room 21 i <br />Denver, Colorado 80?03 DEC 1 <br />~ Z~00 <br />Phone: 1303) 866-3567 CONSTRUCTION MATERIALS <br />FAX: (3031 83 2-81 06 REGULAR (]]2) OPERATION Division Bf Minerals and Ge <br />RECLAMATION PERMIT APPLICATION FORM <br />CI-~CK ONE: There is a File Number Already Assigned to this OperatioD <br />Petmit # ~I -,~00'~~Sd _ (Please reference the fde number currently assigned to this operation) <br />~ New Appbcation (Rule I A.5) <br />Amendment Application (Rule 1. f 0) <br />_ Conversion Application (Rule 1.11) <br />Permit # M - _ - (provide for Amendments and Conversions of existing pemtits) <br />tL\~ <br />DIVISION Of <br />MINERALS <br />'GEOLOGY <br />RECLAM ATIOv <br />MI NING•SAFETt <br />Bill Owens <br />Go.ernor <br />Greg E Welcher <br />fxecunve Dvector <br />Michael B. Long <br />Division Direcror <br />The application for a CoastructioD Materials Regular 112 Operation Recla,nation Permit contains three major parts: (l) the application form; <br />(2) E,xlubits A-S, Addendum 1, any sections of Exhibit 6.5 (Geoteclmical Stability Exhrbit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete signed and notarized NORY ORIGINAL and four (4) copies of the completed [vim <br />application form, Gve (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geolechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be botmd or in a 3-ring binder; maps should be folded to <br />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. <br /> GENERAL OPERATION INFORMATION IVes=pr -~ I v I <br />Type or print clearly, iD the apace provided, aU informatioD described below. ~~, ~ ~`(• 00 <br />S r-( S9 <br />1. A~ID GC3DilODeretOr Or COmDiDV Oame (Dam! t0 be Datd OD DermR): <br /> COULSON EXCAVATING COMPANY .INC. <br />1.1 Tvpe of organization (corporation, partnership, etc.): CORPORATION <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site Damel: BONSER PIT <br />3. Permitted acea¢e (Dew or eaistine aite): 90 permitted acres <br />3. ] Change in acreage (+) _ acres <br />3.2 Total acreage iD Permit azea 90 acres <br />4. Fees : <br />4.1 New Application $2.344.00 applicatioD fee <br />4.2 New Quarry ApplicatioD $2.906.00 quarry application <br />4.4 Amendment Fee $1.938.00 amepdment fee <br />4.5 Copversion to l 12 operation (set by statute) $2.344.00 conversion fee <br />~. Prtmarv commoditie(a) to be miDed <br />3.1 Incidental commoditie(s) to be mined: l . mrm~~ /Inn Ibs/Ions/vr 2. / Ibsrl'ons/vr 3. / Ibs/I'onsh2 <br />4. / Ibs/fons/vr 5. / lbs/fons/vr <br />i.2 Anticipated end use of primary commoditie(s) to be mined: Asphalt hot rn ix and raw road base <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />