2002-02-25_REVISION - M1986140 ‎(2)‎

• Permit No: M1986140
• IBM Index Class Name: Revision
• Doc Date: 2/25/2002
• Doc Name: Amendment Application
• From: Universal Peat Sand and Gravel
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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STATE OF COLOIZf~DO
DIVISION OF MINERALS AND GEOLOGY RECEIVED
Department of Natural Resources
1313 Sherman S[., Room 215
Denver, Colorado 80203 DIVISION O F
Phone: [phone] FEB 2 5 2002 / MINERAL S
FAX: [phone] &
Division of Minerals and Geology G E O L O G Y
CONSTRUCTION MATERIALS RECLAMATION
MINING•SAFETY
LIMITED IMPACT (110) OPERATION
Bill Owens
RECLAMATION PERMIT APPLICATION FORM covemor
Greg E. Walther
Executive Director
Michael & Long
on Director
CHECK ONE: New Applic 'on (Rule 1.4) ,Conversion Application (Rule 1°~ ~}
~_ Amendment Applicafion (C.R.S. 34-32.5-110)
Permit # M - 8(s -~.Q- `~ (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact (110) Operaton Reclamafion Permit contains three major pazts: (1) the applicafion form;
(2) Exhibits A-J, Eldlibit 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 applicafion fee. When you submit your applicafion, be sure to include one (1) complete siened and
notarized IVORY ORIGINAL and one (1) copy of the completed Ivorv application form, two (2) copies of Exhibits A-J, Exhibit I, Addendum 1, and
appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for the applicafion fee described under (4) below. Exhibits should
NOT be bound or in a 3-ring binder; maps should be folded [0 8 1/2" X 11 " or 8 1 /2" X 14" size. To expedite processing, please provide [he information
in the forma[ and order described in this form.
GENERAL OPERATION INF012MATION $ l , L~
Type or print clearly, in the space provided, ALL information described below.
1. Apolicantloperator or company name (name to be used on uermiU: f i uttl ERS/a L ~F AT SAND ~ ~RA V ELy ZN C,
1.1 Type of organization (corporation,paztnership, etc.): ~ Oa.flORA'itoN
1.2 I.R.S. Tax ID No. or Social Security Number: ~ 4 - n8~{-~'~i 3~
2. Operation name (pit, mine or site name): ~,(~ ~-{Si~7 ~ 1'f
3. Permitted acreage (new or existing sitel: G,-~ permitted acres
3.1 Change in acreage (+) 2.?:5' acres
Total Acreage in Permit Area ~~ acres
4. Fees:
4.1 New Application: $1.094.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)): ~ Iflt3.0o $~ application fee
4.2 Conversion Fee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Pr)marv commoditie(s) to be mined: ~A N D ~ GJZAOEL
5.1 Incidental commoditie(s) to be mined; 1. - / ]bs/1'ons/vr 2. / ]bs/Tons/vr 3. / lbs/I'ons/vr
4. / Ibs/I'ons/vr 5. / Ibs/Tons/vr
/~~ t
5.2 Anticipated end use of primary commoditie(s) to be mined: ®( tL.D1A)[y l.0/~$T2UC7 t~/J F QpA~ ~'oA)STR.. ~ MRtA)7;
I
5.3 Anticipated end use of incidental commoditie(s) to be mined: -'