PERMFILE59333

• Permit No: M1998019
• IBM Index Class Name: Permit File
• Doc Date: 3/11/1998
• Doc Name: 110 PERMIT APPLICATION
• Media Type: D
• Archive: No

ii ii«ui~ni» iii
;~ STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Depanment of NamrafResoumes
1313 Sherman 81., Room?1$
Derner, Colorado 80103
Phone. [phone]%
FAX: (3031 83?-8106
° RECEIVED
MAR 11 1998
MATERIALS
Division of Minerals & Geology
LIMITED IMPACT (110) OPERATION
t~''~
DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
RECLAMATION PERMIT APPLICATION FORM fames S. Lochhead
E<ecunve Direnar
Michael B. LOng
Divis'~on D'necror
CHECK ONE: X New Application iRule 1.4) Amendment Application (C.R.S. 34-32.5-110)
Conversion Application (Rule 1.11)
Permit'# - -_ (provide for Ameadmeats and Conversions of
existing permits!
The application for a Construction Materials Limited Impacr (110) Operation Reclamation Permit
contains three major parts: (1) the application form; i2) 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) complete"signed and notarized IVORY 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 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" X 11" or B 1(2" X 14" site. To
expedite processing, please provide the information in the format and order described in this
form.
GENERAL OPERATION INFORMATION
Type or print clearly, is the space provided, ALL information described below,
----------------------------------------------------------------------------------------------
1. Applicant/operator or company name (name to be used on permit):
I',RANT1 f:RAVF. T, rn' ~O ~ ~ I /
1.1 Type of organization (corporation, partnership, etc.):IEL~j,
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation game (pit, mine or site name): GRAND GRAVEL
3. Permitted acreage (new or exietiag site): 9.6 NEW permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area g•8 acres

4. Fees:
4.1 New Application 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 110 875 5.00 conversion fee (Rule 1.11.2(2))
5. Primar y commoditie(s) to be mined: (7RAVRT,
5.1 Incidental commoditie(s) to be mined: 1 NONE lbs/Tons/vr
2. ~ 1bs/TOnsJvr 3. NONE / lbs/Tons/vr
4. / lbs/Tonslvr 5. NONE / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: pRF. A C;RAVRT. PF.MANT)
5.3 Anticipated end use of incidental commoditie(s) to be mined: NONE