PERMFILE111776

• Permit No: M2000073
• IBM Index Class Name: Permit File
• Doc Date: 5/30/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

II IIIIIIIIIIIII III ~- ~~ a ~
STAB-E OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of NaturarResources
7 313 Sherman St., Room 215
Denver. Colorado 80203
Phone: [phone]
FA%~f3031832-8106
RECEIVE®
. I~~~~
DEPARTMEM OF
NATURAL
RESOURCES
MaY 3 q 2000
Division of Minerals & neology
MATERIALS
Rov Romer
LIMITED IMPACT (110 ) OPERATION Governor
RECLAMATION PERMIT APPLICATION FORM lames S. Lochhead
Eaecuure Director
Michael B. Long
Division Dnector
CHECK ONE: X New Application (Rule 1.4) Amendment Appl ic:ation (C.R.S. 34-32.5-110)
Conversion ApplicatiQon (Rule 1.11)
Permit R~- OU -~iL -_ (provide for Amendments 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 Office, and
outlined in Rules 6.1, 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 include one (1) complete"signed 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 Exhibitl, as
squired, and a check for the application fee described under (4) below. Exhibits should NOT be
.fund 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.
----------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------
GENERAL OPERATION INFORMATION
Tyye or yrint clearly, is the apace yrovided, ALL information described below.
1. Applicant/operator or comaany name (name to be used oa Hermit
Rio Blanco County Road and Bridge
1.1 Type of organization (corpozation, partnership, etc.): COUnty Government
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Oceration name (pit, mine or site name): Shults Gravel Pit
3. Permitted acreage (new or existing site): 9.99 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area 9.99 acres
9. Fees:
4.1 New Application 5875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) 5575.00 application fee
4.2 Conversion Fee (from 110d to 110 875 5.00 conversion fee (Rule 1.11.2(2))
5. Primar y commoditie(s) to be mined: Gravel
5.1 Incidental commoditie(s) to be mined: 1. Grayel_ 20,000 1bs/Tons/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. _ / lbs/Tons/yr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Road Surfacing
5.3 Anticipated end use of incidental commoditie(s) to be mined: BPdd~nq/Ri R Rag