2003-06-23_REVISION - M1999022

• Permit No: M1999022
• IBM Index Class Name: Revision
• Doc Date: 6/23/2003
• Doc Name: Addition of Acreage
• From: Crites Sand and Gravel
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

TATE OF COLOI~DO
DIVISION OF MINERALS AND GEOLOGY
DepaNnentof Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
CONSTRUCTION MATERIALS
EIL~ COPY LINIITEDIMPACT(110)OPERATION ~C~+tIVE)
fOR SCANN/l ~~~ON PERMIT APPLICATION FORM JUN 2 3 2003
DIVISION O F
MIN&RALS
Fr£4LOGY
RECLAMATION
MINING•SAFETY
Bin Osvens
Givisian s(Minerals and Gecl Cavemor
IIIT~g E. Walther
Ezetu[ive Director
CHECK ONE: There h a hFhle Number Already Assigned to tlda Operation Rona{a w. Cottony
Permit # M - yq -_Qg•~' (Please reference the file nmmber currently assigled to this operation) Acting Division Director
New Application (Role I.4.5) _~ Amendment Application (Rule 1.10)
Conversion Application (Kale 1.11)
Pertit # .~_-_ _ (provide fns Amendments sad Conversions of existing peaniffi)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains throe major parts: (1) the
application foam; (2} F.afitbhffi A-J, Exhibit L, Addendum 1, any sections ofExhlbn 6.5 and Cleoteehnicel Stabr7dy F,xtibit, as required 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. Whoa yon submit your application, be sure to
i~lude sae (1) camnlete signed and notarized IVORY ORIGINAL and one (1) copy of the completed vory application furor, two (2) copies
of Exhibits A-J, Exhibit L, Addendum 1, end appropriate sections of 6.5 (t3eoteclutical Stabt7ity Exhibit), as required, and a check for the
application fee described ender (4) below. Exhibits should NOT be board ar 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 is the format and order described in this form.
GENERAI.OPERATIONINFORMATION
Type or print clearly, hs the apace provided, ALL hsforaaatioa described below.
11.
2.
14.
I5.
4. J lbslTans/}3 5. / lbs/1'ons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined:
Anticipated end use of incidental commoditie(s) to be mined:
ApDQcanUooerator ar comoanvname (name to be used on oermit): rt I/
1.1 Typeoforgatsicatica(corporation,partaerahip,etc.): ~P pr'Ol1r'feXtjrSh r~
1.2 I.R5. Tax ID No. or Social Security Number: 2.: ~` ~/ - / 3 f3 f„ .~ ~
ODeratioD name (Dir. mine or site name): ~~r, ~P c _~.n.(i `~' y rr0. V e r
Permitted acreage (new or esiatin¢ site): permitted acres
3.1 Change in acreage (+) - ,~ Aeres acres
3.2 Total Acreage in Permit Area acres
Fees;
4.1 New Application: $ 7 094.00 application fee
Amendment Fee (C.RS. 34-32.5.125(In): $719.00. application fee
4.2 Conversion Fee (from 110d to 110 $875.00 conversion fee (Kale 1.11.2(2))
Primary commoditie(al to be mined:
5. I Incidental commoditie(s) to be mined: 1. / lbs/fons/vr 2. / lbsllons,'vr 3. 1 lbs/Tons/vr