PERMFILE64829

• Permit No: M2001018
• IBM Index Class Name: Permit File
• Doc Date: 3/14/2001
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS A~lD GEOLOGY
Department of Nawral Resources
1313 Sherman St., Roam 215
Denver, Colorado 80203 ~ D I v 15 l O N 0 1
Phone: [phone] MINERAL ~
FAX: (303)/~~(:EIVED CONSTRUCTION MATERWS &
LDIIITED IMPACT (110) OPERATION G E O L O G Y ~~
MAR t 4 2~JC~1 RECLAMATION
MINING•SAFETY
RECLAMATION PERMIT APPLICATTON FORM
Division of Minerals and Geology Bill Owens
Governor
Greg E. Walther
CHECK ONE: There is a File Nwnber Already Assigned to thin Operation Executive Direnor
Michael a. Long
Permit # M -_-_ _ (Please reference the fde number currentty assigned to this operation) Division Direcror
New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10)
_ Conveniro~u~A~pphc(a~t~io~nr (Rule I.l I)
Permit # M F7~/~~ ~' n-_ (provide for Amevdmevta sad Couvenioea of existing permits)
The application for a Canstrttction Materials Limited impact (]10) Operation Reclamation Permit contains three major parts: (t) the
application form; (2) Exhibits A-J, Exhtbtt L, Addwdum 1, any sections of Exhibit 6.5 and Geotechnical Stabilty Exhibit, as required by We
Olfice, and outlived in Rules 6.1, 6.2, 6.3, 6.5, mmd 1.6.2(l)(b); mmd (3) the application fee. When yon submit your application, be sure to
include one (1) comvlete signed and notarized IVORY ORIGINAL mmd one (1) copy of the completed I~ application form, two (2) copies
of Exhibits A-J, Exhibit L, Addendum 1, mmd appropriate sections of 6.5 (Geotechaical Stability Exhibit), as required, mmd a check for the
application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring border; maps should be folded to 8 1/2" X 11 " or
8 1/2" X 14" size. To expedite processing, please provide ttie information iv the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, m the apace provided, ALL information described bebw.
1. Applicant/overator or totnoanv name (name to be used on vermit
1.1 Type Of OrganlZatiOn (COIpOratinn, parmershtp. etC.): (`(1R Pr1R ATTf1N
1.2 i.RS. Tax ID No. or Social Sxarity Number: 2.:
2. Overationvame(vk,mineorsitevamel: SCHUMACHER I7
3. Permitted acrcaee (new or e:istiv¢ sleet: ~ 9 _ Q permitted acres
3.1 Chmmge m acreage (+) -0- acres
Total Acreage m Permit Area 9.9 acres
4. Fea:
4.1 New Application: S 1.094.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(U)): 5719.00 application fee
4.2 Conversion Fee (from 1 lOd to 110 SS 75.00 conversion fee (Kale 1.11.2(2))
~. Primarvrnmmoditiefsltobemined: Road Qravel N/A N/A N/A
5.1 Incidental commoditie(s) to be mined: I. N /A Ibs/foas/vr 2. / Ibs(I'ons/vr 3. / Ibs/I`on s/
4. // Ibs/fo~s/ r 5. / Ibs/Cons/
5.2 Anticipated end use of primary commoditie(s) to be mined: R o a d be d
Anticipated end use of incidental commoditie(s) to be mined: N/A