PERMFILE62815

• Permit No: M2000039
• IBM Index Class Name: Permit File
• Doc Date: 3/13/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATIOM PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DIVISION OF MINERALS
Uepanmenl of Natural Re>ou
131 3 Sherman SL,
Den.~er. Colorado
Phone: (7031 8!>~
FTX. 1031 832-
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OF ~OLOI~DO
CONSTRUCTION MATERL4LS
LIMITED I]NPACT (110) OPERATION
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DIVISION O F
MINERALS
GEOLOGY
0. ECLAMATICN
MINING•$A FETY
Bill Owens
Governor
J~ ~ Greg E. 1Valcher
/t_~' RECLAMATION PER~4IT APPLICATION FORA Eaecmme Dire;;or
\ M¢hael B. Long
Divhlon Direcor
CHECK ONE: ~ New Application (Rule 1.4) Conversion Application (Rule 1.] 1)
Amend,'m~~ent Applicarion (C.RS. 34-32.5-110)
Permit # M ~W ~~~ (provide for Amendments and Conversions of existing permits)
The application for a Corrswction Materials Limited Impact (110) Operation Reclamation Permit contains three major pans: (1) the application form;
(2) Exhtbits A-!, Exhrbh L, Addendum 1, arty sections ofExhibh 6.5 and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules
6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be sure to include one (1) complete sieved and
notarized IVORY ORIGINAL and one (1) copy of the completed Ivory applicarion form, two (2) copies of Exhibits A-1, Exhbit L, Addendum 1, and
appropriate sections of 6S (Geotechnical Stability Exhbit), as required, and a check for the application fee described under (4) below. Exhibits should
NOT be bound or in a 3-ring binder, maps should be folded to 8 12" X 11" or 8 12" X 14" size. To expedite processing, please provide the information
in the format and order described N this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. Aoolicaot/ooentor or comoaov name (name to be used o0 oermitl: D EL.N l?{L r~10U51 R I E S ~~ C.
1.1 Type of organization (corporation, parmership, etc.): t• O (L.Po iZ A -F: o nl
I ~ I.R.S. Tax ID No. or Social Security Number: 9 I I S ~ i (o ~
?. Operation name (nit- mine or site namel:
3. Permitted acreage (new or e:istine skel;
3.1 Change in acreage (+)
Total Acreage in Permit Area
4. Fees:
4.] New Application:
Amendment Fee (C.R.S. 34-32.5-125(il)):
4? Conversion Fee (from I I Od to 110 575.00 conversion fee (Rule l.] 12(n_))
~9_p ermined acres
~9•$acres ~w~
Tt49.$acres ~"~
5875.00 application fee
5575.00 applicazion fee
S r~9/
5. Primary commoditie(sl to be mined: GiME 5 ~CA/E 'Lo 10'/ ti• S NAL E SAD y ^'
5.1 Incidental commoditie(s) to be mined: 1. ~ Ibs/ions/vr 2. /~lbs/1'onslvr 3. / IbsrTons/vr
4. / Ibs/fons/vr 5. / lbs!fons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: /Z% P RAC l E/ZJ~i;cA( CoAI~rC(.~I^iAIE D~,a•na~~~;:
5.3 Anticipated end use of incidental commoditie(s) [o be mined: g fZo"+a F3.45 E 2 cLiLa REcUHA~W So.L