Laserfiche WebLink
MCc~~ f ~C-F~1'' ~5 .~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />~~~EI!/ED <br />NOV 24 ~ ,/ <br /> <br />1313 Shesrrwn St, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 8663567 <br />FAX: (303) 832.8106 <br />CONSTRUCTION MATERIALS <br />La11P1'ED IlKPACT (118) OPERATPONen of Minerals eat GealoBY <br />RECLAMATION PERMIT APPLICATION FORM <br />COLORADt <br />D[ V t S I O N O <br />MINES <br />GEOLOG <br />RFCIwNAT10N•NINIt <br />SAFETY•SOENC:E <br />sin ovens <br />Governor <br />CHECK ONE: ~ There is a FE7e Nnm Already Assigned to this Operation <br />Permit # t~Q -~-~j~-j,~i rj (Please mferznce the file number currently assigned to tltis operation) <br />New Application (Rule 1.4.5) ~ Ameodmeut Application (Rule 1.10) <br />CoDVetaioD Application (Bute 1.11) <br />Permit # M -~~P~'j=L*~ (provide for Amendments and Conversions of existing permits) <br />Greg E. WaMrer <br />Executive DirNOr <br />Ronald W. cactauy <br />Division Director <br />Natural Resource TnmE <br />The applicati~foraConstrlictienMatesialsLimitedlmpact(110)OperationReclamationPennitcartaiostbreemajorpattx (1)theapplicatien <br />form; (2) Ex]nbits A-J, Exbtbit L, Add~dtnn 1, airy sxtions of Fatfibit 6.5 and Geotechnical Stability E~thibit, as required by the Office. ark <br />outlined in Rules 6.1, 6.2, 6.3, 6.5, amj 1.6.2(1 xb); and (3) the application fee. When you submit your application, be sure to include one <br />(t)comnietesitmedaltdnoimized]tVORYORIGINALandone(1)capyofihecompletedlvot applicationform,two(2)copiesofEXhtbits <br />A-J, Exhibit L, Adt~dum 1, and app~mptiate sections of ti.5 (C>earechnical Stability Eld»bit), as required, acrd a check for the applicatiaEfee <br />described under (4) below, Exhibits shwldN T be bwmd ~ in a 3aiag bidder, maps should be folded to 812" X I 1"or 812° X 14"size. <br />To expedite processing, please p~mvide tbe iDfarmatien in t~ format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print dearly, M the space provided, ALL information described below. <br />1. AaDGesDt/oaerator or comnanv Dame (name to be aced oD cermitl: (_ 1~t sL~_'[-~ ~~tr rs (1' `~ <br />1.1 Type of argadizatiaD (copoatioD, partnership, etc.): S;. LE. l~Q h Ptt~_ Tn tz <br />12 1.2 LRS. Tart ID No. or Social Security Number: 51 'Z- ~-1:- - 7rr~~ <br />2. OcevatioDDame(DJt.mineoraitenamel: ~aCt+vLGf~ 'fC-212RCinfG- Stn.uiti l~wy l7E'T- <br />3. Permitted acreage (Dew or eldstm¢ site): ~ pemmitted acres <br />3.1 Change in acreage (+) ~"L acres <br />3 ~ Total Acreage in Permit Area q ~ 5 acres <br />4. Fees: <br />4.1 New Application: $1.094.1)n application fee <br />Amendment Fee (C.R.S. 34-32.5-125(11)): $719.00 application fee <br />4.2 Conversion Fee (from t I Od to 110 $875.00 conversion fee (Rule 1.11.2(2)) <br />~. Primary cemmoditce(s) to be mhted: ~ P.st L~~L <br />5.1 Ineidentai commoditie(s) to be mined: 1. _ / IbslfonshT 2. / ]bs/I'onsNr 3. ! Ibs/I'ons/vr <br />4. / lbslfons/vr i. / lbs/TornshT <br />5.2 Anticipated end use of primary commoditie(s) to be mined: G csA(5ii7-R /_f C % /r "O <br />Anticipated end tlse of incidental commotlilie(s) to be mined: lJr~• <br />p[fice of _ 08ice of Colorado <br />