PERMFILE62341

• Permit No: M1996073
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215 ~
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
CT A TT'
III IIIIIIIIIIIII III I
999
OF COLORADO
~.F I ' I ~ ~' ~' I
IQ1TffitIALS
LIItITED I1(PACT OPERATION (110)
~~
DEPARTMENT OF
NATURAL
RESOURCES
Rgci'.avnTION PERMIT APPLICATION FORK Roy Romer
Governor
lames 5. Lochhead
Executive Director
Michael B. Long
/ Division Director
CfIECR ONE: !~ New Application (Rule 1.4) Asieadsieat Application (C. R. S. 34-32.5-110)
Conversion Application (Rule 1.11)
Permit ~ - -_ (provide for Ataead~ents 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 (I} comolete 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" 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. D
___=________________________________________________________________________n_~~=~=~5_
GENERAL OPERATION INFORMATION ~,'t -Cj~ir-C~'~~
Type or print clearly, in the space provided, all information described below.
1.
~ V
1.1 of organization (corporation, partnership, etc.): C.ouk~-.i GoyeYUUAe.a~"'
1.2 I.R.S. Tax ID No. or Social Security Number: q g - OQ 9 'r(
2. Operation name (pit, mine or site name): ~
3. Permitted acreage (new or existing site):~'1.9 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area 9.~ 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 85 75.00 conversion fee (Rule 1.11.2(2))
5. primar y commoditie(s) to be mined: CT ra Je I
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/yr
2. / lbs/Tons/vr 3. / lbs/Tons/yr
4. / lbs/Tons/yr 5. lbs Tons r
5.2 Anticipated end use of primary commoditie(s) to be mined: S
5.3 Anticipated end use of incidental commoditie(s) to be mined: