Laserfiche WebLink
, <br />_. '_~ <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />M-Zoo3 -0"14 <br />5T1ArE OF COLORADO <br /> <br />1313 Sherman SL, Room 215 RFCF~V <br />Denver, Colorado 80203 Fo D I v 15 l O N P t <br />Phone: 1303) 866-3567 CONSTRUCTION MATERIALS SFp Q 4 MIN &RA L S <br />FAX: (303)832-8106 2Q <br />F i L,~ Fg 0 PY LIMTIED IMPACT (110) OPERATION OfYrsron ajMigerai O r/ GEE O H O o N <br />®/( SaG'~ ~~~~~RECLAMATION PERMIT(APPLICATION FORM S dgdG,epiOgY M I N I N G• S A F E T Y <br />!C 6~A ® e~ Bill Owens <br />Governor <br />Greg E. Walther <br />CHECK ONE: There is a File Number Already Assigned to this Operation Executive Director <br />Michael B. Long <br />Permit # M -_ _ _ (Please reference the file number currently assigned to this operation) Divi:inn oireaor <br />New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - _ _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the <br />Office, and outlined in Roles 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) die application fee. When yon submit your application, be sure to <br />include one (I) complete si>med and notarized IVORY ORIGINAL and we (1) copy of the completed h'O[V application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for the <br />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 <br />8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />1. <br />1.1 'Type of organization (corporation, parlnetsh <br />1.2 I.RS. Tax ID No. or Social Security Numbe <br />2. Operation name (nit. mine or ske Hamel: <br />3. Permitted acresQe (new or eaistinQ ske): <br />3.1 Change in acreage (+) <br />Total Acreage in Permit Area <br />4. Fees: <br />4.1 New Application: <br />Amendment Fee (C.R.S. 34-32.5-125(II)): <br />. ... ~ 9.9 acres <br />$1.094.00 application fee <br />$719.00 application fee <br />4.2 Conversion Fee (&om 110d to 110 8$ 75. W conversion fee ,(,Rlule 1.1~1.2~(2Q))~~~ ~ <br />S. Primary commnaitie(sl to be mined:~~ 3~ tU IC.it~\ _ ( /~`{.1 rl f <br />5.1 Incidental commodiae(s) to be mined: 1. ,~QbDI~ lbs/Tons/yr 2. r~QDtt Ibslfons/v^r 3. Y~~~I~ Ibs/Tons/vr <br />4.(~jQ~1~T ]bs/fonslYr 5. / lbs/Tons/vr a,~. p~,~ <br />i.2 Anticipated end ase of primary commoditie(s) to be mined: n~ i t~ P Gt.Q r~A~m m Vt `.1(~ l Nll~~~ <br />Anticipated end use of incidental commoditie(s) [o be mined: R.PC IQ.I /YtC,~i nrll KP~i(11PUlkiY. Q ~n/tvror-+Li(,.Q <br />rva+-~-^-+~- <br />~bY ~ <br />-/~ Permitted acres <br />.. - __ acres <br />