PERMFILE110814

• Permit No: M2000103
• IBM Index Class Name: Permit File
• Doc Date: 8/14/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLO1Zl-~DO
DIVISION OF MINERALS AND GEOLOGY
Deparrmem ui Natural Resources
137 }Sherman St .Room _15
Denver, Cobraiio 8U'0?
Phone. [phone],'
F.4S. 1103)832~810b
RECEIVED
AUG 14 2000
CONSTRUCAUIOlVR~~1I'}tE9E~~~~ Geology
LIMITED IMPACT (110) OPERATION
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DI`/ISION O'
MINERAL
GEOLOGI'
RECLAMATION
MI NING•SAFETY
RECLAM1IATION PERMIT APPLICATION FORM aal ovens
Coverrror
Greg E. Walther
E.ecuuve D~reaor
Michael a Long
CHECK ONE: X There is Number Already Assigned to this Operation DinsiOn D~reclor
Permit # -2000-09-3 ( ease re(ere ce the file number currently assigned to this operation)
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X New Application (Rule 1.4.5)--. ~~~ Amendment Application (Rule 1.10)
_ Conversion Application (Rule I.I I)
Permit # M -! -_ (provide Cor Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact (I 10) Operation Reclamation Permit contains three major pans: (I) the
application form; (2) Exhibits A-I, 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(I)(b); and (3) the application fee. When you submit your application, be sure
to include ane (l) complete si¢ned and notarized IVORY ORIGINAL and one (1) copy of the completed Ivory application forth, two (2)
copies of Exhibits A-I, Exhibit L, Addendum I, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check
for the application tee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 1/2"
X I I" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in Chis form.
GENERAL OPERATION INFORMATION "~ _ a QOO ~(t5 3
Type or print clearly, in the space provided, ALL information described below.
ApplicanUoperatororcompanvname(nametobeusedon permit l~en P. Small Trucking_ & Excav. Inc.
I.1 Type of organization (corporation, partnership, etc.): Cor poration
1.2 I.R.S. Tax ID No. or Social Security Number: 2.:
2. Operation name (pit, mine or site name): A . P . S
3. Permitted acrea¢e (new or existine site):
84-1152918
Trucking and Excavation, Inc.
3.l Chancre in acreage (+)
Total Acreage in Permit Area
4. Fees:
4.1 New Application:
Amendment Fee (C.R.S. 34-32.5-125(II)):
4.2 Conversion Fee (from 110d to 1 ]0 8$ 75.00 conversion fee (Rule 1.11.2(2))
±1.25 permitted acres
N A acres
±1 • 25 acres
$L094.00 application fee
X719.00 application fee
5. Primary commoditie(s) to be mined: Soil
5.1 Incidental commoditie(s) to be mined: I. N/fy Ibsll'ons/vr 2. / Ibs/I'ons/vr 3. / Ibs/I'ons/vr
4. / Ibs~fons/vr 5. / IbslCons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: Structural fill
Anticipated end use of incidental commoditie(s) to be mined: