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' • • ~ ~ BELVEAL GRAVEL/ PIT <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />DeUanment of NaNral Resources <br />111 J Sherman $L. Room 215 <br />Dcnvcr, Colorado 80?03 <br />I'hnne: (3031 8663567 <br />FA%:11037 83?-81 U6 <br />~EDEIa6ED <br />AUG 0 8 2001 <br />Division of Minerela and Deola9Y <br />CONSTRIICTION )(yLmvurar c <br />LII~IITED II~ACT (110) OPERATION <br />RECEIVED ~~ <br />MAY 3 1 2001 ~~~~ <br />Division of Minerals and Geology DEPARTMENT OF <br />NATURAL <br />RESOURCES <br />Ror Romer <br />PSR[4T APPLICATION FORM Governor <br />Zoo~J ~O r ~ lames 5. Lochhead <br />ll--J~ Ezecu:ive Director <br />o-tichael B Long <br />CHECK ONE: XX New Application (Rule 1.9) Conversion Application (Rule 1.11) D;.~~sion Director <br />Amendment Application (C. R.S. 39-32.5-110) <br />Permit # - -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit <br />contains three major parts: (1) the application form; (2) Exhibits A-J, Exhibit L, Addendum 1, <br />any sections of Exhibit 6.5'and Geotechnical Stability Exhibit, as required by the Office, and <br />outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete sinned and notarized IVORY ORIGIIa1L <br />and one (1) copy of the completed Ivorv application form, two (2) copies of Exhibits A-J, <br />Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as <br />required, and a check for the application fee described under (9) below. Exhibits should NOT be <br />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 <br />expedite processing, please provide the information in the format and order described in this <br />form. <br />---~ - - -z ---------- ------------------------------------------- <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />1. Applicant/operator or company name (acme to be used on permit): <br />Elbert County RnrJ ~d :•r i~'. ~ ln~. rr r. ~c~~ :~' 'n. <br />1.1 Type of organization (corporation, partnership, etc.): Lnttnt~(:nv <br />1.2 I.R.S. Tax ID No. or Social Security Number: <br />2. Operation name (pit, mine or site namel: <br />Belveal Gravel Pit <br />3. Permitted acreage (new or existino site): Y,Y permitted acres <br />3.1 Change in acreage (+) acres <br /> Total Acreage in Permit Area 4 ~ acres <br /> <br />4. Fees: <br />9.1 New Application 5 675.00 - application fee <br /> Amendment Fee (C.R.S. 39-32.5-125(22)) 5 575.00 application fee <br />9.2 Conversion Eee (from 110d to 110 S875.00 conversion fee (Rule 1.11.2(2)) <br />5. Pr+m~r v commoditie(s) to be mined: Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. lbs/Tons/vr <br /> 2. / 16s/Tons/vr 3. / lbs/Tons r <br /> 9. / 1bs/Tons/yr S. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />