1999-03-05_PERMIT FILE - M1999022

• Permit No: M1999022
• IBM Index Class Name: Permit File
• Doc Date: 3/5/1999
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION Of MINERALS AND GEOLOGY
Depannnent of Natural Resources
1313
1313 Sherman St.,Room 215
Denver,Colorado 80203
Phone:[phone]
FAX:[phone]
PJWIENT OF
A mewed CONSTRUCTION MATERLAIS N NATURAL
n LILC= IMPACT OPERATION (110) RESOURCES
5 Ass% RECLAMATION PERMIT APPLICATION FORM Roy Ror:.
�pR 0 Governor
109 )ames S.Lochhead
Field aulo9Y FxKwiKDirecor
90 pucan 1aks Michael 6.Long
Mid
O`V15,rOn 0( Division Director
CHECK ONE: _ y New Application (Rule 1.4) Amendment Application (C.R.S. 34-32.5-110)
Conversion Application (Rule 1.11)
Permit # - - (provide for Amendments and Conversions of
existing permits)
The application for a Construction Materials Limited Impact Mining (110) Operation Reclamation
Permit contains three major parts: (1) the application form; (2) Exhibits A-J and 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, and 6.5; and (3) the application fee. When you
submit your application, be sure to include one (1) complete sinned and notarized IVORY ORIGINAL
and one (1) copy of the completed ivory application form, two (2) copies of Exhibits A-J and
Exhibit L, 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 8 1/2" % 11" or 8 1/2" % 14" size. To expedite processing,
please p 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.
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1. Applicant/operator or company name (name to be used on permit) :
_ Dave .Crites/ Crites Sand and Cravol
1.1 Type of organization (corporation, partnership, etc.) : F�nq,i- torshiF
1.2 I.R.S. Tax ID No. or Social Security Number: 84-1313627
2. Operation name (pit, mine or site name): Crites Sand and Gravel
3. Permitted acreage (new or existing site) : 9. 75 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area 9 . 75 acres
4. Fees:
4.1 New Application $875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II) ) $575.00 application fee
4.2 Conversion Fee (from 130d to 110 $875.00 conversion fee (Rule 1.11.2(2))
S. Primary commoditie(s) to be mined: gravel sand
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr
2. / lbs/Tons/yr 3. / lbs/Tons/vr
4. / lbs/Tons/yr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be minedbuilding pads/roads
5.3 Anticipated end use of incidental commoditie(s) to be mined: