PERMFILE53427

• Permit No: M2000059
• IBM Index Class Name: Permit File
• Doc Date: 5/10/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 MINING OPERATION APPLICATION WORKSHEET CHECKLIST
• Section_Exhibit Name: EXHIBIT A 6.3.1 LEGAL DESCRIPTION & LOCATION MAP
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOL~y7 q ~ ZOOO
Depanment of Naiu ral Resources 1
131 3 Sherman Si., Room 215 LT;I$19C 0' ~I^2(aS ~~: JF"..:; j
Denver, Colorado 80203
Phone: [phone]
FA%~ !3031 83'8106

STATE OF CO~Oi`ADO
CONSTRIICTION MATERIALS
LIMITED IMPACT (110) OPERATION
~~
~~'~
DEPARTMENT OF
NATURAL
RESOURCES
Rov Romer
Governor
RECLAMATION PERMIT APPLICATION PORM lames 5. Lochhead
Evecmive Dvecror
bvchael B. LOng
Drvis~on Director
CHECK ONE: ~ New App..C3C_On (Rule 1.41 Ameadmeat Application (C-R.S. 34-32.5-110)
Conversion P-pplication (Rule i.ll)
Permit # _- - -_ (provide for Amendments and Coaversiona of
existing permits) ~
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The application for a Construction Materials Limited Impact (". 10) Operation Reclamation Permit
contains three major parts: (1) the application form; (2) Exhibits A-J, 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, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you
submit your application, be sure to include one (1) comolete'sicned and notarized IVOAY ORIGINAL
and one (1) copy of the completed Ivory application form, two (2) copies of Exhibits A-J,
Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as
required, and a check fer the application fee described ender (=) below. Exhibits should NOT be
bound or in a 3-ring binder; maps should be folded to 8 1/2" 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.
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GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL informatioa described below.
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1. Applicant/operator or company name (name to be used oa Hermit):
1.1 ~ Type of organization (corporation, partnership, etc.):
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation name (pit, mine or site name) : L; I~-C~I ~-,~:i[t;
3. Permitted acreage (new or existing site): % Q permitted acres
3.1 Change in acreage (+ or -) acres
Toca1 Acreage in Permit Area acres
4. Fees
4 .1 New Applicatior. 5875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) 5575.00 application fee
4 .2 Conversion Fee (from 110d to 110 5875.00 conversior. fee (Rule 1.11.2(2))
5. Primar y commoditie(s) to be miaed: ~~ ."/uC ~ .~'/ir(LC ~ . sd ~
3- i _ncider.=a1 commoditie(s) to be mined: 1. lbs/m_ons/vr
_. / lbs/Tons/vr 3. / lbs/Tons/vr
4- / 1bs/Tons/vr 5. / lbs/Tons/vr
3- 2 ;,ncicipated end use of primary commoditie(s) co be mined: ~uitd4Y/Orl~-/•i: /:aCIi~.V~F_~
5. 3 Anticipated end use of incider.ta'_ commoditie(s) to be mined: ~