PERMFILE104963

• Permit No: M1998080
• IBM Index Class Name: Permit File
• Doc Date: 9/11/1998
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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i •
STATE OF
COLOI~DO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
RECEIVED
SEP 1 1 i99~
DIV. OF MINERALS
OF
Roy Romer
LIMITED IMPACT (110 ) OPERATION Governor
RECLAMATION PERMIT APPLICATION FORM Tames S. LOChhead
Ezecunve Director
Michael B. Long
Division Director
CHECK ONE: New Application (Rule 1.41 Amendment Application (C.R.S. 34-32.5-110)
Coaveraioa Application (Rule 1.11)
Permit # ~-~g_- 080 -_ (provide for Amendmeate 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 Offace, and
outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. when y6u
submit your application, be sure to include one (1) comolete'sioned and notarized IVORY ORIGINAL
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 (4) 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 14" size. To
expedite processing, please provide the information in the format and order described in this
form.
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GENERAL OPERATION INFORMATION
Type or priat clearly, in the space provided, ALL informatioa described below.
----------------------------------------------------------------------------------------------
1. A licaat/o orator or co as name name to be used oa ermit
_ ,L /f ~ TON/= ~ ~ /~eu
1.1 Type of organization (corpo ation, partnership, etc.): ~R R ~-nyP P s /,;ln
1.2 I.R.S. Tax ID No. or Social Security ,N/umb /er: r T_,i/ ~ fin./- /4 !~ R/n73
2. Operatioa same (pit, mine or site acme): /Y~ ~Fd G~,.R2,P. ~/ ~2--
3. Permitted acreage (new or existing site):
3.1 Change in acreage (+ or -)
Total Acreage in Permit Area
permitted acres
acres
acres
4. Fees:
4.1 New Applica tion 875.00 application fee
Amendment F ee (C.R.S. 34-32.5-125(II)) .00 application fee
4.2 Conversion Fee (from 110d to 110 8$ 7
5.00 conver sion fee (Rule 1.11.2(2))
5. Primar y commoditie( /
s) to be mined: Jfl nlq ~, ~pnr~ ~ ~r r~Ld,~u~/D~_
5.1 Incidental commoditie(s) to be mined: 1. lbs/Tons/yr
2. / lbs/Tons/yr 3. / lbs/Tons/yr
4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: r '.rrr~e ~~~i, ~ P
5.3 Anticipated end use of incidental commoditie(s) to be mined: