PERMFILE65272

• Permit No: M1998060
• IBM Index Class Name: Permit File
• Doc Date: 7/10/1998
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 275
Denver, Colorado 80203
Phone: [phone]
F.4X:1303183?-8106
CONSTRUCTION MATERIALS
Division of Minerals 8 Geobgy
'JUL 10 1996
Or COLORADO
(Zr~: SyBY
c~.` 2/5b~/o
~ S'~ S. DO ~~~~
RECEIVED
LIIQITED II~ACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
DEPARTMENT OF
NATURAL
RESOURCES
Roy Romer
Governor
lames s. Lochhead
Exttunve Director
Michael B. long
Division Dirtttor
CHECK ONE: X New Application (Rule 1.4) Amendment Application (C.R.S. 39-32.5-110)
Conversion Applpication (Rule 1.11)
Permit # ~- I~ -,b~-_ (provide for Amendments and Conversions
of existing permits)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit
contains three major parts: (1) the application form; (Z) Exhibits A-J, 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, 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 signed and notarized IVORY
ORIGINAL and one (1) copy of the completed Ivory application form, two (2) copies of Exhibits
A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit),
as required, and a check for the application fee described under (9) 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 19"
size. To expedite processing, please provide the information in the format and order
described in this form.
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GENERAL OPERATION INFORMATION

1. Type or print clearly, in the space provided, ALL information described below.
Applicant/operator or comnanv name (name to be used on permit):
KIT CARSON COUNTY
1.1 Type of organization (corporation, partnership, etc.): GOVERNMENT
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation name (pit, mine or site name): DORSCH PIT
3. Permitted acreage (new or existing site).: 9.74 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area 9.74 acres
4. Fees:
4.1 New Application $875.00 application fee
Amendment Fee (C. R.S. 39-32.5-125(II)) 7 ;-T-oo application fee
4.2 Conversion Fee (from 110d to 110 5875.00 conver sion fee (Rule 1.11.2(2))
5. Primary commoditie(s) to be mined: SAND GRAVEL
S.1lncidental commoditie(s) to be mined: 1. N/A - 1bs/Tons/Yr
2. N/A / lbs/Tons/yr 3. N/A / lbs/Tons/vr
9. N/A / lbs/Tcns/yr 5. N/A / 1bs/Tens/Yr
5.2 Anticipated end use of primary commoditie(s) to be mined: ROAD MAINTENANCE
5.3 Anticipated end use of incidental commoditie(s) to be mined: N/A