Laserfiche WebLink
l~E <br />K ~S <br />a-~',:: r <br />AJG ~ ": 2C05 ,~ <br />~,_ ._. . c_~~~al• <br />CONSTRUCTION MATERIALS <br />LIMITED IMPACT (110) OPERATION <br />RECLAMATION PERMiT APPLICATION FORM'S <br />CHECK ONE: XX There is a File Number Already Assigtred to this Operation <br />Permit # M •2005-060 ~ (Please reference the file number currently assigned to this operation) <br />New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M -_ -_ (provide for Amendments and Conversions of existing pemilts) <br />The application for a Conshuction Materials Limited Impact (I10) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J,.Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required <br />by the Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(I)(b); and (3) the application fee. When you submit your application, be <br />sure ro include one (1) complete limed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be foldedto 81/2" X <br />1 I" or 8 I/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or priest clearly, in the space provided, ALL information described below. <br />1. Aoaticant/operator or comoanvname (name to be used on aermitl: Weld County Public Works <br />1.1 Type of organization (corporation, partnership, etc.): Government <br />2. Operation name foit. mine or site Hamel: Ashbaugh Gravel Pit <br />3. Permitted acreage Inew or existine sitel: 9.9 permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 Total Acreage in Pemtit Area 9.9 acres <br />4. .Fees: <br />4.] New Application: $1094.00 application fee <br /> ,Amendment Fee (C.RS. 34-32.5-125(II)): $719.00 application fee <br />4.2 Conversion Fee (fmm 1 I Od to 110 $875.00 conversion fee (Rule 1.11.2(2)) <br />5. Primarvcommoditie(sl to be mined: Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. 1 1bsflonsJvr 2. / Ibsllonslvt 3. 1 1bsllons/yr <br />4. ! Ibs(fonslvr 5. / lbslTons/vr <br />5.2 Anticipated end use of primary commoditie(s)tobemined: County road maintenance and construction <br />Anticipated end use of incidental commoditie(s) [o be mined: N/A <br />