PERMFILE66457

• Permit No: M2002049
• IBM Index Class Name: Permit File
• Doc Date: 4/1/2002
• Doc Name: Permit Application
• From: Rio Blanco County
• To: DMG
• Media Type: D
• Archive: No

F COLORADO
DIVISION OF MINERALS AND GEOLOGK
Uepanmem of Natural Resources
1313 Sherman SL, Room 215 ~ECEI VEI
Denver, Colorado 80203
Phone: [phone]
FAQ: 1303183?-8106 /APR 0 1 2002
Division of Minerals and I
CONSTRUCTION MATERIALS
FILE COPY LIMITED IMPACT (110) OPERATION
fOR SCANN/N[~ ~CLAMATION PERMIT APPLICATION FORM
CHECK ONE: X New Application (Rule 1.4)
DIVISION O F
MINERALS
GEOLOGI'
RECLAMATION
,MINING•SAFETY
Bill Owens
Wvernw
Greg E. Walther
E"ecu[ive Direc[w
Michael B. Low
Division DilKi01
Conversion Application (Rule 1.1 I )
Amendment Application (CIEs. 34-32.5-110)
Permit # ~-~~ _ (provide for Amendments and Conversions of existing permits)
the application for a Construction Materials Lunited Impact (110) Operation Reclamation Pettnit contains three major parrs: (1) the application form;
(2) Exhibits A-J, ExhibB L, Addendum I, arty sections ofF_xiubit 65 and Geotechnical Stability Exhibit, as requred by the Office, and outlined in Rules
6.1, 6.2, 6.3, 6.5, and 1.62(1)(b); and (3) the application fee. When you submit your application, be sure tn include one (1) comolete silmed and
notarized IVORY ORIGINAL and one (1) copy ofthe completed vc ~ application form, two (2) copies of Exhibiu A-J, Exhbbtt L, Addendum 1, and
appropriate sections of 6S (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-rmg binder, maps should be folded to 812" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information
~n the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
I. ADDlicanUoneratororcomoanvDame(nametobeusedonoermitl: Rio Blanco County Road and Bridge
1.1 Type of organization (corporation, partnership, etc.): County Government
l.2 I.R-S. Tax ID No. or Social Security Nmnber:
!. OperstionnamelDit.mineorskenamel: Quinn Draw Gravel Pit
Permitted acreage (new or existine skel: 9.99 permitted acres
3.1 Change in acreage (+) acres
Total Acreage in Permit Area 9. 9 9 acres
Fees:
4.1 New Application: 875.00 applicazion fee
Amendment Fee (C.R-S. 34-32.5-125(II)): 5575.00 application fee
4.2 Conversion Fee (from 1 I Od to 110 875.0 conversion fee (Rule 1.1].2(2))
Primary commoditiNs) to be mined: Gravel
5.1 Incidental commoditie(s)to be mined: ]Grave} 20QQfiI`ons/vr 2- / lbslions/vr 3. / Ibs/fons/vr
4. / Ibs/fons/vr 5. / Ibs/fons/vr
5 ~ Anticipazed end use of primary commoditie(s) to be mined: Road Surfacing
5.3 Anticipated end use of incidental commoditie(s) to be mined: Bedding