PERMFILE62690

• Permit No: M2001010
• IBM Index Class Name: Permit File
• Doc Date: 4/9/2001
• Doc Name: ALLISON GRAVEL PIT SPECIAL USE REVIEW APPLICATION
• Media Type: D
• Archive: No

LLISOn GRAVCL PIT
~ STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Depa nnv~nl .v N,ilnr,~l Resuur~es
171 1 Shci m,~n 51 , Room X75
Denvrr, r_OIQyI(IU nU 203 DIVISION O F
Phone. 110'11 tl6L-75fir MINERAL S
F.~x. l to u n 7'-n l oa &
t GEOLOGY
RECLAMATION
CONSTRUCTION MATERIALS MINING • S A F E T Y
' REGULAR (I12) OPERATION
RECLAMATION PERMIT.IPPLICATION FORM e~uowen,
Gn.rrnn~
Cref; E. Walcficr
' f •ecuwc Ovcaor
CHECK ONE: XX New A lication Rule 1.4.5 Amendment A lication Rule 1.10 ~'cnacl u Long
PP ( ) PP ( b~~ivon Director
Conversion Application (Rule 1.1 l )
' Permit q M - _ (provide Cor Amendments and Conversions ofexisting permits)
t The applicaion for a Constnttion Materials Regular 112 Operation Reclamation Permit contains three major pans: (f) the application (grin;
(2) Exhibits A-S, Addendum 1, any sections oCExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application (ee. When you submit your
application, be sure to include one (1) complete sieved and notarized IVORY ORIGINAL and four (4) copies of the completed Ivy
application form, five (5) topics of Exhibits A-S, Addendum I, appropriate sections of 6.5 (Geotechnical Stability Exhibit. and a check for
' the application fee described under Section (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 m this form.
' GENERAL OPERATION fNFORMATION
Type or print clearly, ip the space provided, ALL information requested below.
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I. Applicant/operator orcompanvname(nametobeusedonoermit): Elbert County R S B Dept Simla Division
1.1 Type of organization (corporation,pannership,e[cJ: County Govt.
1.2 I.R.S. Tax I.D. No. or Social Security Number:
2. Operation name (pit, mipc or site oamel:
3. Permitted acreage fnew or e:istine site):
3.1 Change in acreage (+)
3.2 Total acreage in Permit area
4. Fees:
4.1 New Application XX
4.2 Ncw Quarry Application
4.3 Milling Application (Non-DMO)
4.4 Amendment fee
4.5 Conversion to 112 operation (set by statute)
permitted acres
acres
RD acres
$1.875.00 application (ee
$2.3?5.00 yuarryapplication
$3.100.00 milting application
$1.55D.00 amendment(ee
$1.875.00 conversion fee
5. Primary commoditie(s) to be mined: Road Gravel.
5.1 Incidental commoditie(s) to be mined: 1. Ibs(fons/yr ? / Ibs~Tons/vr
3. / Ibs/fons/vr 4. / Ibslfonslvr 5. / Ibs/fonslvr
~.2 Anticipated end use of primary commodiue(s) to be mined: goad Repair .
5.3 Anticipated end use of incidental commoditie(s)tobemined: Road Repair/Road Base/ Road Building
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