Laserfiche WebLink
~9 -moo S-O~ ~ <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Reso«<es <br />7313 Sherman S[., Room 215 <br />Denver, col«ado 80203 <br />vnane: tw3) esrr3se~ <br />FAX:1303) 832E106 <br />JUN 3 p 2CG'S <br />CONSTRUCTION MATERIALS. ~." • ,. ~~ Y'~ni~+'Y <br />COLORADO <br />DIVISION O F <br />MINF~RALS <br />GEOLOGY <br />s~IETY•sCIFHCE <br />LIMTTED IMPACT (110) OPERATION aill Owens <br />Gavema <br />RECLAMATION PERMIT APPLICATION FORM Russell ce«ge <br />Executive Din%tor <br />Ravld W. cxwny <br />CI IECK ONE There is a File Number Already Assigned to this Operation Division Director <br />NatuM Rcource 7rurtee <br />Permit # Zvi -_ _ _ (Please reference the file number currently assigned to this operation) <br />,~_ New Application (Rule 1.4.5) ~ Amendment Application (Rule L 10) <br />Conversion Application (Rule 1. I I ) <br />I'ertnit # M -_ _ (provide for Amendmeota and Converslona of exisKing permits) <br />The application for a Construction Materials Limited Jmpact (110) Operation Reclamatirnr Permit contains three major parts: (I) the <br />application form. (2) Exhibits A-.1, Exhibit 1., Addcmdum 1, any sections of Exhibit GS and Geotcchnical Stability Exhibit, as requiredby the <br />Office, and outlined in Rules 6. I, 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 <br />include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies ofExhibits <br />A-1, Exhibit L, Addendtan 1, and appropriate sections of 6,5 (Geotechnical Stability Exhibit), as required, and a check for the application <br />fee described undrv (4)below. F..xhibits should NOT be bound or ina3-ring binder, maps should be folded to8l/2"X11"or81/2"X14" <br />size. To expedite processing, please provide the information in the format slut order described N this form. <br />GENERAL OPERATION INFORMATION <br />Type or print cleariy, in the apace provided, ALL information described below. <br />1. ADOlicanUonerator or comoanv namelname to be need on Dermtt): ACA PTOCIllCtS InC. <br />1.1 Type of organization (corporation, paNlership, etc.): _~j_Vate ' <br />2. ODeralion namelpit. mine or rite oamel: Ri var Park Ra~reati nn At`r'eSS <br />3. Permitted aceaee (new qr ezlstinlr site): 9.96 permitted acres <br />3.1 Change in acreage (+) acres <br />3.2 'Ibtal Acreage N Permit Area 9.96 acres <br />4. Fees: <br />4.1 New Application: 1094.00 application fax <br />Amendment Fee (C.R.S. 34-32.5-125{II)): s719.00 application fce <br />4.2 Conversion Pee (from 1 I Od to 1 10 875.00 conversion fee (Rule L 11.2(2)) <br />5. Primary rnmmuditie(s1 to be mlced:Rnl tl Marc Cob1~1,<(;rayel <br />S,1 Incidental commoditie(s) to be mined: 1. _ / Ibs/Tons/vr 2. / Ibs/fonsh7 3. ,_ / Ibsrl'ons/yr <br />4. / Ibs/Ions/vr 5. / IbsITons/vr <br />S.2 Anticipated end use of primary wmmoditie(s) to be mined: ReC lamatlOri /Construction Material <br />Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of Colorado <br />Mined Lard Reclamation Active and Inactive Mines eeologiUl Survey <br />