PERMFILE66048

• Permit No: M1996031
• IBM Index Class Name: Permit File
• Doc Date: 5/2/1996
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY -+lr~
Depanmenl of Natural Resources
1313 Sherman 51., Room 215
Denver, Colorado 80203 R ~ (; F (~ ~ ~- ~
Phone: 1303) 86b3567
FAX:[phone] ~1pY 0 ~ 1996
OONSTRUCTIOR MATERIALS
LIMITED IMPACT OPERATIOl~~ISI~1~pb(('gllidldlS G ~i~~'~L;.'
RECLAMATION PERMIT APPLICATION FORM
~~
DEPARTMENT OF
NATURAL
RESOURCES
Roy Roma
Governor
lamcs S. Luchhead
E.eculne Direnor
ns~chael g Long;
Drcision Uirenrn
CfiECR ONE: X New Application (Rule 1.4) Amendment Application {C. R.S. 34-32.5-110)
Conversion Application (Rule 1.11)
Permit # i - -_ (provide for Amendments and Conversions of
existing permits)
The application for a Construction Materials Limited Impact Mining (110) Operation Reclamation
Permit contains three major parts: (1) the application form; (2) Exhibits A-J and 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, and 6.5; and (3) the application fee. When you
submit your application, be sure to include one (1) complete sioned and notarized IVORY ORIGINAi.
and one (1) copy of the completed 'v} orv application form, two (2) copies of Exhibits A-J and
Exhibit L, appropriate sections of 6.5 (Geotechnical Stability Exhibit), 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 1/2" X 11" or 8 1/2" X 14" size. To expedite processing,
please provide the information in the format and order described in this form.
__________________________________________________________________~=~1 ° =C1_31=====______
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1. Applicant/operator or company name (name to be used on permit):

G, ~}hpr3anA Arna_ Tnr•-
1.1 Type of organization (corporation, partnership, etc.): C ac(~crz>;ien
1.2 I.R.S. Tax ID No. or Social Security Number:

2. Operation name (pit, mine or site name): We1mel #2 _

3. Permitted acreage (new or existing site): 9.9 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area acres

4. Fees-
4.1 New Application S875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) S575.00 application fee
4.2 Conversion Fee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie(sl to be mined: Gravgl
5.1 incidental commoditie(s) to be mined: 1. S rai, ct - 7f1,f111(1 xl~.^,/Tons/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: road work
5.3 Anticipated end use of incidental commoditie(s) to be mined: Na