PERMFILE71502

• Permit No: M2000053
• IBM Index Class Name: Permit File
• Doc Date: 6/12/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

ii iiiiiiiiiiiu iii
STATE
DIVISION OF MINERALS :,N'D GEOI OGl'
Depart mom of Naeu ral Resources /~
7313 Sherman St., Room 215 (I/
Denver, Colorado E0203 V~P~I,r
Phone: G03i b66-3567 ,~ 1 ~,
F.1X uo31s32-slob dnV'~/`
C
~i
OF COLQIZ.ADO
RE~EIVE®
t, SUN ` 7. 200
HATEILIALSD .j1. xl JI ~,,ne(a(s ~Geo1o9Y
~/~'~
DEPARTI~LE)v-i OF
NATUFZAL
~.SOLJ~CE~
n / LIMITED I?fPACT OPERATION (110 )
I„~\'U ~i1~ ~, ~D (ry"/ RECLAMATION PERMIT APPLICATION FORM
1 onU tvl ' \\~"~~~ IV\'1f'r ~V I
CF~CR ONE: ~ Hew Application (Rule 1.4)
Roy Romer
Governor
lama 5. Lwhheac
Execunve Director
ra¢hael B. long
Division Director
Ameadmeat Application (C.R.S. 34-32.5-110)
Conversion Application (Rule 1.11)
Permit # - -_ (provide for Amendments and Conversions of
existing permits)
The application for a Ccrrs*_ruction 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. Whoa you
submit your application, be sure to include one (1) complete sioned and notarized IVORY ORIGINAL
and one (1) copy of the completed ivory 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.
-----------------------------------------------------------------------------------------
GENERAL OPERATION INFORMATION
Type or print cleazly, in the space provided, all information described below.
---------------------------------------------------------------------------------__ =
1. Applicant/operator or company name (name to be used on permit l:
L GS f/nii2lG.t C ~'u.~T~
1.1 Type of organization (corporation, partnership,pe/tc.): Gc~~r:~o.nc.~~
1.2 I.R.S. Tax ID No. or Social Security Number: 8 / ~ 0~0 7C' ( i
2. Operation nacre (pit, mine or site name):
3. Permitted acreage (new or existing site):
3.1 Change in acreage (+ or -)
Total Acreage in Permit Area
i~ ..L
/ ~;; / , ~~(; f i ~5
~• ~ d permitted acres
__ _ acres
acres
4 . Fees
4.1 New Applica tion 5875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) 5575.00 application fee
4.2 Conversion Fee (from 110d to 110 Ss 7s.oo conversion fee (Rule 1.11.2(2))
5. Primary commoditie( s) to be mined: ~/dt.'P
S.i Incidental commoditie(s) to be mined: 1. - lbs/Tons/yr
2. / lbs/Tons/yr 3. / lbs/Tons/yr
4. / lbs/Tons/yr 5. lbs Tons r
5.2 Antici-gated end use of primary commoditie(s) to be mined: «d '/%c~ ,~r~•r:.,~
5..7 Anticipated end use of incidental commoditie(s) to be mined: _