PERMFILE65147

• Permit No: M1998038
• IBM Index Class Name: Permit File
• Doc Name: CONSTRUCTION MATERIALS SPECIAL 111 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

III III III III'111111
STATE OF COLORADO

DIVISION OF MINERALS AND GEOLOGY
Depanment of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203 RECEIVED
Phone: [phone]
FAX: [phone]
:ONSTRIICTION MATHRZALS Division of Minerals 8 Geology
SPBCIAL 111 OPBRATION
TION PERMIT APPLICATION FORM
II~~~
DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
lames 5. lochhead
- ~ n_ ~/D Esecuuve D~reaor
OV Michael B. Long
The application for a Construction Materials Special 111 Operation Reclamation Per~Y'~°'t4YffC°3ins
four major parts: (1) the application form; (2) Exhibits A-L, Addendum 1, and any sections
of Exhibit 6.5 (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); (3) the application fee; and (4) the Performance
Warranty and if required a Financial Warranty. When you submit your application, be sure to
include one (1) complete signed and notarized IVORY ORIGINAL and one (1) copy of the completed
Ivorv application form, two (2) copies of Exhibits A-L, Addendum 1, appropriate sections of
Exhibit 6.5 (Geotechnical Stability Exhibit), as required, a check for the application fee
described under (4) below, and the fully executed Performance warranty and Financial warranty,
if required. 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 lA" size. To expedite processing, please provide the information in the
format and order described in this form.
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GENERAL OPERATION INFORMATION /~~ 7
Type or print clearly, in the space provided, ALL information requested below. /
------------------------- -- ---
Apnlicant/operator or coamanv name (name to be used on permit): ~~,~
Kirkland Construction R.L.L.P.
1.1 Type of organization (corporation, partnership, etc.): Liability Partnership
1.2 I.R.S. Tax ID No. or Social Security Number:
Operation name (nit, mice or Bite name): Ttvo Rivers
Permitted acreage:
New Application:
Primary commoditie(s) to be mined: Gravel
Name of owner to the subsurface rights of affected land:
Name of owner to the surface of affected land: Carl
7.1 Names of the holders of any recorded easements on the affected land:
Southern Colorado Powerline Easement (West Plains)
8. Type of mining operation: x Surface Underground In-situ
9. Location information: The center of the area where the majority of mining will occur:
COUNTY: Pueblo
PRINCIPAL MERIDIAN (check one): x 6th (Colorado) _ 10th (New Mexico) _ Ute
SECTION (write number): S 17
TOWNSHIP (write number and check direction): T 21 _ North X South
RANGE (write number and check direction): R 61 _ East X West
QUARTER SECTION (check one): _ NE X NW _ SE _ SW
QUARTER/QUARTER SECTION (check one): X~~SE _ NW X, SE _ SW
GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and
mate elevation): Approximately 1 1/2 miles south of Boone
Elevation 4480 feet
30 permitted acres
$625.00 application fee
Carl Pantal
Pantaleo