1999-09-12_PERMIT FILE - M1999073

• Permit No: M1999073
• IBM Index Class Name: Permit File
• Doc Date: 9/12/1999
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

III IIIIIIIIIIIII IIIF OF COLORADO
DIVISION OF MINERALS AND GEOLOGY 999
Department nt taiural Resources RECEI y`'
E�
1313 Sherman St.. Room 215 �! V CL: D I v 1 5 I O N O i
Denver,Colorado 80203
Phone.[phone] MINERALS
FAX [phone] &
Division of Minerals&Geology GEOLOGY
RECEIVE® RECLAMATION
MINING-SAFETY
CONSTRUCTION MATERIALS
SH 1. ;: 1999 ail)Owens
LIMITED IMPACT(110)OPERATION Gove,nor
Division of Minerals&3e0109f RECLAMATION PERMIT APPLICATION FORM Executive Director
Michael B.Long
Division Director
CHECK ONE: _ X New Application(Rule 1.4) Conversion Application(Rule 1.11)
Amendment Application(C.R.S.34-32.5-110)
Permit# M -v (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact(110)Operation Reclamation Permit contains three major parts: (1)the application form;
(2)Exhibits A-1,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 12"X I I"or 8 12"X 14"size. To expedite processing,please provide the information
in the format and order described in this form. A
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided, ALL information described below.
1. ADplicant/operator or company name(name to be used on permit): EVAN L. MELBY. INC. _
1.1 Type of organization(corporation,partnership,etc.): CORPORATION
1.2 I.R.S.Tax ID No.or Social Security Number: 77-0384275
2. Operation name(pit,mine or site name): PIT 1
3. Permitted acreage(new or existing site): permitted acres
3.1 Change in acreage(+) 8 _acres
Total Acreage in Permit Area acres
4. Fees:
4.1 New Application: $875.00 application fee
Amendment Fee(C.R.S.34-32.5-125(11)): $575.00 application fee
42 Conversion Fee(from I I Od to 110$875.00 conversion fee(Rule 1.112(2))
5. Primary commoditiefs)to be mined: SAND
5.1 Incidental commoditie(s)to be mined: 1. / IbsrFons/vr 2. / Ibs(fons/vr 3. / Ibs/fons/yr
4. / Ibs/fons/ r 5. / Ibs/Tonsivr
5.2 Anticipated end use of primary commoditie(s)to be mined: 2005
5.3 Anticipated end use of incidental commoditie(s)to be mined: