2001-05-08_PERMIT FILE - M2001054 ‎(12)‎

• Permit No: M2001054
• IBM Index Class Name: Permit File
• Doc Date: 5/8/2001
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE ;:OF
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 21 i
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
RECLAMATION PERMIT APPLICATION FORM
h4Y D 8 2(ip~
CONSTRUCTION MATERIAISD/y(s~~ of 9o Freld ~ .
LIIiiITED IIKPACT (110) OPERATION Mrno'olS $ Geo
CE~CK ONE: There is a File Number Already Aaaigned to this Operation
~~
DIVISION OF
MINERALS
GEOLOGY
RECLAMATION
MINING~SAF ETY
811 Owens
Governor
G.eg E. Walther
Executive Director
•1"' Michael a. Long
Permit # M -~rl[-D -_ (Please reference the fde number cmreatly assigned to this operation) Div~s~on Director
`~_ New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10)
Convesioo Application (Rule 1.1 l)
Permit # M -! (provide for Amendment and Conversions of existing permits)
The application for a Consuuction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the
apphcatioa form; (2) Exhibits A-1, Exhrbit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhrbit, as required by the
Office, and otrtlinedm Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the appbcaton fee. When you submit your application, be sure to
mcllyde one (1) camolete signed and nota[ized IVORY ORIGDYAL ®d one (I) copy of the c~mtpleted lvo~r 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 chock for the
apph:,ation fee described order (4) below. Exhibits should NOT be bound or in a 3-ring border; maps should be folded to 8 I/2" X 1 I" or
8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form.
GENERAL OPERATON INFORMATION
Type or print clearly, to the apace provided, ALL information described below.
1. AooGcaot/ooerator or comuanv name (name to be used o0 oermit):
1.1 Type of organization (corporation, Partnership, etcJ: 5 01 r fro ~.a 1e r sl7 ~
1.2 I.RS. Tax ID No. or Social Security Number. 2.: 5 a 3 - O 4 - b3 I ~
2. Ooeratioe name (oh, mine or site name): ~r I ~.al ,l~ r
3. Permitted aeresee (new or e:istie¢ skel: 3 • t°'~ pemvtted acres
3.1 Change in acreage (+) acres
Total Acreage m Permit Area 3 . V ~ acres
4. Fees
4.1 New Application: 1094.00 appbcaton fee
Amendment Fee (C.R.S. 34-32.5-I25(II)): 719.00 application fee
4.2 Conversion Fee (from 110d to 110 8S 75.00 conversion fee (Kale 1.11.2(2))
5. Primarvrnmmoditie(sttobetniced: rr_LVe.~ T c L QonZ.bnSC~ 3UO~T
5.1 Incidental commoditie(s)to be mined: 1. / Ibs/Conslvr 2. / Ibsll'ons/vr 3. / Ibsffons/vr
4. / Ibs/1'oas/vr 5. / Ibs/Cons/vr
5.2 Anticipated end use of pr®sry commoditie(s) to be mitred: IZ o ~ 6 cs e
Anticipated end use of incidental commoditie(s) to be mined: