PERMFILE100203

• Permit No: M2001056
• IBM Index Class Name: Permit File
• Doc Date: 5/31/2001
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

DIVISION OF MINERALS AND GEOLOGY
Oepanmeni of Natural Resources
131 } Sherman Si.. Room 215
Dcnvcr, Colowdo 80?03
I'hnnc: 0037 866-356i
FAX:[phone]-B1 U6
BELVEAL GRAVEL PIT
STATE OF COLORADO
RECEIVED
MAY 3 1 2001
Division of Minerals and Geology
CONSTRIICTION I'II1'1'kRrar.g
LIIffTED I2IPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
JM~ ZOb1' 0 ~~
f `•
DEPARTIv1E[vT OF
NATURAL
RESOURCES
Rov Romer
Governor
lames S. LOChhead
Execmrve Dneaer
Michael B. Long
CHECK ONE: XX Nex Application (Rule 1.9) Conversion Application (Rule 1.11) Di.~is~onDirenor
Amendment Application (C.A.S. 39-32.5-110)
Permit # _- - -_ (provide for Amendments and Conversions of
existing permits)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit
contains three major parts: (1) the application form; (2) Exhibits A-J, 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, 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 sinned and notarized IVORY ORIGIIiP.L
and one (1) copy of the completed Ivory application form, two (2) copies of Exhibits A-J,
Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as
required, and a check for the application fee described under (9) below. Exhibits should NOT be
bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 19" size.. To
expedite processing, please provide the information in the format and order described in this
form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described belox.
--- - -----------------------------------------------------
1. Applicant/operator or company name (name to be used on permit):
Elbert County Road And Bridge Department Simla Division
1.1 Type of organization (corporation, partnership, etc.): -County Gnvt
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Operation name (pit, mine or site namel:
3. Permitted acreaoe (nex or existing site):
3.1 Change in acreage (+)
Total Acreage in Permit Area
4
5
Belveal Gravel Pit
permitted acres
acres
9,.q acres
Fees:
9.1 New Application 5875.00 application fee
Amendment Fee (C.R.S. 39-32.5-125(II)) 5575.00 application fee
9.2 Conversion Eee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(21)
Primary commoditie (sl to be mined: Gravel
5.1 Incidental commoditie(s) to be mined: 1. 1bs/Tons/vr
2. / lbs/Tons/vr 3. / 1bs/Tons/vr
9. / 1bs/Tons/vr 5. / 1bs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined:
S.s Anticipated end use of incidentei ccmmoditie (s) to b=_ mined: