1999-03-11_PERMIT FILE - M1999018

• Permit No: M1999018
• IBM Index Class Name: Permit File
• Doc Date: 3/11/1999
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

IIIIIIIIIIIIIIII
STATE OF COLOF ADO
DIVISION OF MINERALS AND GEOLOGY
of
Department of Natural Resources
1313 Sherman St., Room 215 RECEIVED RECEIVED .
Denver,Colorado 80203 �� 1999 Phone:[phone]
FAX:[phone] R 11 FEB 261999 �/
&Go", DEPARTMENT OF
plvision of Minerals pivis on of Minerals&Geo"Y NATURAL
RESOURCES
CONSTRUCTION M)LTERIALS
Roy Romer
LIMITED IMPACT (110) OPERATION Governor
RECLAMATION PERMIT APPLICATION FORM lames 5.Lochhead
Executive Director
Michael B.Long
Division Director
CHECK ONE: New Application (Rule 1.4) __ Amendment Application (C.R.S. 34-32 .5-110)
Coavers. �Spplication (Rule 1.11)
Permit # (,{1(�l -ON -_ (provide for Amendments and Conversions of
existing permits)
The application for a Construction Materials Limitrad Impact (110) Operation Reclamation Permit
contains three major parts: (1) the application form; (2) Exhibits A-J, 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, 6 .5, and 1.6.2 (1) (b) ; and (3) the application fee. When you
submit your application, be sure to include one (1) complete-signed and notarized IVORY ORIGINAL
and one (1) copy of the completed Ivory application form, two (2 ) copies of Exhibits A-J,
Exhibit L, Addendum 1, and appropriate sections cf 6 .5 (Geotechnical Stability Exhibit) , as
required, and a check for the application fee descr:-bed 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 i

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GENERAL OPERATION INFORMATION
Type or print clearly, in the space providod, ALL information described below.
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1. A licaat/o orator or company acme name to be used on permit) :
a�neR CoAsrrocTinn) 77c.
1.1 Type of organization (corporation, partnership, etc. ) : r
1.2 Z.R.S. Tax ID No. or Social Security Number: 7 R'7 '1��/� 3I73
2 . operation name (pit, mine or site name) : � J f�l P Q YSnrk
Permitted acreage (new or existing site) : ;SF� l•5 permitted acres
3 .1 Change in acreage (+ or -) acres
Total Acreage in Permit Area � +�, w� _ �� 9 S acres
4. Fees:
4.1 New Application $875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125 (II) ) $575.00 application fee
4.2 Conversion Fee (from 110d to 110 $875.00 conversion fee (Rule 1.11.2 (2) )
5. Primary commoditie(s) to be mined: (yr qND r
5.1 Incidental commoditie(s) to be mined: 1. 2blbs/Tons r
2 . / lbs/Tons/yr 3 . / lbs/Tons/yr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: CUDAST• rhn,'(r.,.i Q14
5.3 Anticipated end use of incidental commoditie(s) to be mined: