Laserfiche WebLink
l~.+-~ ~ <br />~~~~~ <br />of ~oLor~Do <br />D1 VISION OF MINERALS AND GEOL04N <br />Department of Natural Resources <br />1313 Sherman 51., Room 215 <br />Denver, Coiorarlo AD:03 <br />Phone: (3031 BG6-3.iGi <br />FAX: (303) 83?-All16 <br />F!!E COPY <br />RECEIVE(gECEIVEp <br />/~UL 3.1 2003 1UN 2 61003 <br />Bf~ISien Sf MineralsGelYA ,~~g~linerals and Geology <br />CONSTRUCTION MATERIALS <br />fOR SCANN/NG LIMITED IMPACT (110) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM <br />~ CHECK ONE: New Application (Rule 1.4) <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAFETY <br />Bill Owens <br />Governor <br />Greg E. Watcher <br />Exec0liYe Director <br />Michael B. Long <br />Division Director <br />Conversion Application (Rule 1.1 I) <br />_~ AmendmentAppli ation(C.R.S.34-32.5-110)C~u~(~y/i Ua I 14nQ5>~~ <br />Permit # M •~-~ ~ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the applir.:,ion form; <br />(2) Exhibits A-],Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules <br />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 <br />notarized IVORY ORIGINAL and one (1) copy ofthe completed Ivy application form, two (2) copies of Exhibits A•J, Exhibit L, Addendum.l, and <br />appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for the application fee described under (4) below. Exhibits should <br />NOT be bound or in a 3•ring binder; maps should be folded to 8 12" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information <br />in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />or print clearly, in the space provided. ALL_ information <br />Applicant/operator or company name (name to be used on permit <br />n~ ~ <br />L1 Typeoforganization(corporation,partnership,ete.): q~,( /r CJtA-/cs( <br />1.2 LR.S. Tax ID No. or Social Security Number: Fed 10 ~ . O'r - ~3~~7 ~'~ <br />2. Operation name foil, mine or site name): (6L/lun rl JpnrL Lind C-raw e.l <br />3. Permitted Lcrua^e (new c: exisfir.¢ site): ~_ permitted acres <br /> 3.1 Change in acreage (+) V~ acres <br /> ?otai Acreage in Permit Area ~-acres <br />4. Fees: <br /> 4.1 New Appiication: 5875.00 application fee <br /> Amendment Fee (C.R.S. 34-32.5-125(II)): ~ application fee <br /> 42 Conversion Fee (from 1 IOd [0 1 ]0 875.00 con <br />er sion fee (Rule I.11.2(2)) ,,~^ t <br /> <br />5. v <br />Primary commodi[ie(sl to be mined: 0/70.UY,1 L <br />-`~ <br />l"pL ral~a~erta~ 88 <br /> 5.1 tncidentai commoditie(s) [o be mined: i. <br />/ Ibs/'fons/vr 2. / Ibs/Tons/vr 3. / ibsiTons/vr <br />4. / Ibs/Tons/vr 5. / Ibs <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />5.3 Anticipated end use of incidental commoditie(s) to be mined <br />