2002-06-24_REVISION - M1984117

• Permit No: M1984117
• IBM Index Class Name: Revision
• Doc Date: 6/24/2002
• Doc Name: Completeness Response ‎(s/b M-1984-117)‎
• From: Fremont County
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY p ~/C
Department of Natural Resources 91E~~~ N G~
1313 Sherman SL, Room 215
Denvef, Colorado 80203 ~ ~ q q DIVISION O F
Phone: [phone] JUN Z ~ Z~ MINERAL S
FAX: [phone] - 6z
Ivlsron of PAinerals end Geology ~ G E O L O G Y
CONSTRUCTION MATERIALS RECLAMATION
" MINING•SA FE7Y
LINIITED IMPACT (110) OPERATION
Bill Owens
RECLAMATION PERMIT APPLICATION FORM Governor
Greg E. Walther
Executive Director
Michael 8. Long
on Director
:K ONE: New Application (Rule 1.4) Conversion Application (Rule {~~ ~}
K Amendment Application(C.R.S.34-32.5-110)
Permit # M -1978 096 (provide for Amendments and Conversions of exisflng permits)
~plicafion for a Construction Materials Limited Impact (110) Operafion Reclamation Permit contains three major pazts: (1) the application form;
hibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6,5 and Geo[echnical StabIlityExhibit, as required by the Office, and outlined in Rules
2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be sure [o include one (1) complete signed and
:ed IVORY ORIGINAL and one (1) copyof the completed Ivory appticaflon form, two (2) copies of Exhibits A-J, Exhibit L, Addendum 1, and
Iriate sections of 6.5 (Geotechnical S[abilityExhibi[), as required, and a check for the application fee described under (4) below. Exhibits should
~e bound or in a 3-ring binder; maps should be folded to 8 1/2" X I l" or 8 1 /2" X 14" size. To expedite processing, please provide [he information
format and order described in this-form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
~pplicant/operator or company name (name to be used on permit): Fremont County Board of Commissioners
1.1 Type oforganizaflon(corporation,partnership,etc.): Government Agency
1.2 LR.S. Tax ID No. or Social SecurityNumber:
Ooerationname(pit.mineorsi[ename); Coaldale Pit -Dist ll3
Permitted acreage (new or existin¢ site): ~ 5 permitted acres
3.1 Change in acreage (+) 4.9 acres
Total Acreage in Permit Area
ees:
3.1 New Application:
Amendment Fee (C.R.S. 34-32.5-125(II)):
l.2 Conversion Fee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(2))
9.9 acres
m'
$1.094.00 application fee m.
las
$719.00 application fee _
Primary commoditie(s) to be mined: Road Materials/Gravel
i.l Incidental commoditie(s) ro be mined: 1. I0 , 090 $FSs(!I'ons/yr) 2. / lbs/I'ons/vr 3. / lbs/fons/yr
4. / lbs/Tons/vr 5. / lbs/I'ons/vr
i.2 Anticipated end use of primary commoditie(s) [o be mined:
Road Materials/Gravel
i.3 Anticipated end use of incidental commoditie(s) to be mined:
N/A