Laserfiche WebLink
Fited .in mu o6bice iEa a ob Mahch, 2000 , Caho2• Knuae, Monthoae County <br /> CCenk E Reeonden bu ��!SDas Deputri <br /> STATE OF COLORADO POT! � <br /> DIVISION OF MINERALS AND GEOLOGY <br /> Drl annn•m ,i Nahual Nesnurers � � / /� t <br /> 1 11 1 Sl vn..to St.. Rnum 215 O 1 v 1 5 I O N <br /> Denver.Colwado no 4D ' <br /> Phunr I31111 Old, 35n7 M I N E RA 1 <br /> GEOLOG <br /> CONSTRUCTION MATERIALS MINING-SAFIEt <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERM IT APPLICATION FORM ealo.. m <br /> Governor <br /> Greg E.Walcher <br /> Executive O,rectw <br /> CHECK ONF: New Application(Rule 1.4.5 Amendment Application Rule 1.10�"Wien B.tong <br /> PP ) PP ( D,.c,,,on Dlrecmr <br /> Conversion Application(Rule 1.11) <br /> Permit P M - _- 3-_ (provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts:(1)the application form; <br /> (2)Exhibits.4-S,Addendum I,any sections of Exhibit 6.5(Geotechnical Stability Exhibit;and(3)the application fee. When you submit your <br /> application, be sure to include one (1) complete signed and notarized IVORY ORIGINAL and four(4) copies of the completed Ivory <br /> application form, five(5)copies of Exhibits A-S,Addendum 1,appropriate sections of6.5(Geotechnical Stability Exhibit,and a check for <br /> the application fee described under Section (4) below, Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br /> 8 1/2"X I I•'or 8 1/2" X 14"size. To expedite processing,please provide the information in th der described in this form. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,ALL information requested below. <br /> 1. Applicant/operator or company name(name to be used on permit): �7 <br /> 1.1 Type of organization(corporation,partnership,etc.): One C�u t h Pl/ 0 n, <br /> 1.2 I.R.S.Tax I.D.No.or Social Security Number: <br /> 2. Operation name(nit,mine or site name): BQ 16 dU4 l<. OX YQ Of P;+ <br /> 3. Permitted acreage(new or existing sire): ';,5 permitted acres <br /> 3.1 Change in acreage(+) d, �—� acres <br /> 3.2 Total acreage in Permit area �j 5 acres <br /> 4. Fees: <br /> 4.1 New Application $1,875.00 application fee <br /> 4.2 New Quarry Application S2325.00 quarry application <br /> 4.3 Milling Application (Non-DNIO) $3,100.00 milling application <br /> 4.4 Amendment Fee 51,550.00 amendment fee <br /> 4.5 Conversion to 112 operation(,et by statute) $1,875.00 conversion fee <br /> 5. Primary commoditie(s) to be mined: lm V by J <br /> 5.1 Incidental commoditie(s) to be mined: I. - Ibsaans/yr 2. / IbsrPons/vr <br /> 3. / Ibs./Tmi,1r 4. / Ibsrfons/vr 5. / Ibs/fonilyr <br /> i 2 Anticipated end use of prim.ur commodities)to be mined: <br /> 5.3 Anticipated end use of incidental commoditie(s) 10 be mined: <br />