REV92924

• Permit No: M1978078
• IBM Index Class Name: Revision
• Doc Date: 7/16/1997
• Doc Name: application
• From: DMG
• To: LINCOLN CNTY BOARD OF CNTY
• Type & Sequence: AM1
• Media Type: D
• Archive: No

J

STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
,3,3 Sherman St., Roan 2i5 ~ IV ED
Denver. Colorado 80203 Y' RF CE
Phone: [phone]
FAX:l303)832-8,06 'Q
c~rsTROCTIaN >wa-TERIALS JUL 16 s+97
LIMITED I!0?ACT OPERATION (110)
~a~T ~,1 0 01 Nunerals & Geoio9Y
RE- ION PERMIT APPLICATI~ PORN
~~
N TURAL
RESOURCES
Roy Rorner
Gpvertgr
lames 5. Lachhead
FRCU[ive Director
Mid+ael B. Lorrg
Division Director
CNECR ONE: New Application (Rule 1.4) X Aaae+~ea~L Application (C.R.S. 34-32.5-110)
Con~ersioa Application (Rule 1.11)
Permit # M - 78 - G78 -_ (provide for Aaeadaeats and Conversions of
existing permits)
The application for a Construction Materials Limited Impact Mining (110) Operation Reclamation
Permit contains three major parts: (1) the application form; (2) Exhibits A-J and Exhibit 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, and 6.5; and (3) the application fee. When you.
submit your application, be Sure to include one (1) complete sinned and notarized IVORY ORIGINAL
and one (1) copy of the completed ivory application form, two (2) copies of Exhibits A-J and
Exhibit L, appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a chec':
for the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring
binder; maps should be folded to 8 1/2" % 11" or 8 1/2" % 14' size. To expedite processing,
please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, i_u the space provided, all information described below.
1. AHplieant/ouerator or comHanv name (name to be used on Hermit):
Lincoln County
1.1 Type of organization (corporation, partnership, etc.): Government
1.2 L R.S. Tax ID No. or Social Security Number: R1~_~nnn ~,$,
2. Operation name (pit, mine or site name):
3. Permitted acreace (new or existing site): 1•G permitted acres
3.1 Change in acreage (+ or -) + 7.~ acres
Total Acreage in Permit Area
8
~ acres
=i
4. Fees:
4.1 New Application 5875.00 application fee
Amendment Fee.(C.R.S. 34-32.5-125(II)) 5575.00 ~ application fee
4.2 Conversion Fee (from 110d to 110 SS~75.00 conversion fee (Rule 1.11.2(2))
5. Primary ~
.,,,
comtttoditie(s) to be mined: ~„
n_...
~
_
~~
5.1 Incidental commoditie(s) to be mined: 1. N/A - lbs/Tons/vr
2. / lbs/Tonslvr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
2
5 ated end use of primary commoditie(s) to
Antici be mined: Ftn ~ ~ +P„r,A
. p
5.3 Anticipated end use of incidental commoditie(s) to be mined: n,/a

Pickenpaugh Gravel Pit