Laserfiche WebLink
F COLORADO <br />DIVISION OF MINERALS AND GEOLOGY RECEr VED <br />Oepanment of Natural Resources h ''° %j';~^; ""°` <br />1313 Jherman St., Room 215 DEC 2 9 200y / <br />Phoner(3 31866.35673 DEC.2 ~ 1Li1~4 <br />FAX: 13031832.8106 <br />r3ivisian o1 f.7inerals I: Geslsgtl Division of Minerals and CeoloBY <br />CONSTRUCTION MATERIALS <br />REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM / <br />t>L\~ <br />DIVISION OI <br />MINERAL; <br />$c <br />GEOLOGI <br />RECLANATIO~ <br />NINING•SAFETY <br />Bifl Owem <br />Governor <br />- n ~~ _ ~ ~ Greg E. Walcfrer <br />N ~ Executive Director <br />CiI73CK ONE: New A lication ule 1.45 Amendment A liwtion Rule L 10 '`twat a. Eorrg <br />_X_ PP (1Z ) -- PP ( Division Director <br />Conversonn Application (Bolo 1.11) <br />Permit # ~_-_ , (provide for Ameodmeets and Conversions of existing permits) <br />The application tilx a Constnution Materials Regular 112 Operation Reclamation Permit cotltaios throe major pazts: (1) the applie~tian form; <br />(2) Exhlbus A-S, Addendum 1, any sections ofExhtbtt65 (Geotechnical Stability Exlubi~ and (3) the application fee. When you submh your <br />application, ba sure m iacluda one (1) ~plplete slpp„ed and eotarized IVORY ORIGINAL and four (4) espies of the completed jyQ)y <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriaoe sections of 6S (Gootechnicel Stability Exhibit, and a check for <br />the application fee descn'bed under Section (4) below. Exhibits should (1~ be bound or m a 3-ring binder; maps should be folded to <br />8 1/2" X 1 I" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format arnl order described in this form. <br />GENERAL OPERATION Q~(FORMATION <br />Type or pri0t cleanly, to dle space provided; ~~ in[ormatbn requested babes. <br />1. ~ BunUocentor or eomnanv name (name to be used on permnr. Benson Brothers <br />1.1 Type of organization (corporation, partnership, etc.): ~rtnershiD <br />1.2 I1LS. Tax ID. No. or Social Security Number. <br />2. Opendon name (olt. mine or site name): Benson Brothers Pip Mesa Pit <br />3. Permitted acrealte (new. e:btina aitel: <br />3.1 Chaogein acreage(+) <br />3.2 Total acreage iu Permit aroa <br />4. ~: <br />4.1 New Application <br />42 New Quarry Application <br />43 Milling Applicazion (Non-DMO) <br />4.4 Amentimem Fee <br />4.5 Conversion to 112 operation (set by stsane) <br />S. Primary fxxngtoditie(sl to be mined: Sand Gravel <br />39 permitted acres <br />acres <br />39 acres <br />$2344.00- application foe <br />quarry application <br />milling application <br />amendment fee <br />conversion fee <br />5.1 Incidental commoditie(s) W be mined: I. (bsll'ons/vr 2. / jbslfon_ch+r <br />3. / Ibs/['ons/vr 4. / Ibs/l'orts/vr 5. / Ibs/Tona/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Construction apgregate <br />5.3 Amicipated end use of incidental commodities) t0 be mincd: Decorative rock <br />