2003-04-30_PERMIT FILE - M2003030

• Permit No: M2003030
• IBM Index Class Name: Permit File
• Doc Date: 4/30/2003
• Doc Name: Completeness
• From: Joesph Dorris
• To: DMG
• Media Type: D
• Archive: No

RECEIV~ATE CF COLORADO
DIVISION OF 7v1lNERALS AND GEOLOGY APR 3 0 2003
D ~ ~

epartment of Natural Resources ~
1313 Sherman St., Room 275 -
Denver, Colorado so2o3 Ditrisian ~f Minerals and Geolosy DIVISION o
Phone: [phone] /Vl 1 N 1: lt.'s L ;
FAX: (3D3) 832-8706 $i
GEOLOGI
LIlIDTED Il1~IPACT OPERATION (ll0(2)) R E C L A M A T I O p
MINING•SAFETI
RECLAMATION PERMIT
APPLICATION FORM Bill Owens
' Governor
Greg E. Walther
Executive Director -
CHECK ONE: New Application (Role 1.4) Conversion Application (Rule 1.11)
Michael B. Long
Division Director
Permit # M- 2 00~ - O ~'~ (provide for conversions of existing permits)
The application for a Limited Impact Designated Mining Operation Reclamation Permit contains three major parts: (I) the
application form; (2) Exhibits A-J, a~ repaired sections of Exhibit S and Geotechnical Stability Ezclu'bit, as required by the Ofhce,
and outlined in Rules 6.1, 6.2, 6.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your application, be sure to include
one (1) sietred and notarized original and one (1) copy of the application form, two (2) copies of Eahrbits A J, appropriate sections of
b.4.19 Extubit S and b.5 (Geotechmical Stability Exhibit), as required, and a check for the applicalion fee descn~bed under (4) belore
Exhibits should not be bound 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 de~nbed in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below
I. A~plicantloperator or company name (name to be need on the pert}: ~a 5 ~~~ L ~ a rr~ ~
1.1 Type of organization (corporation, partnership, etc.): S a~L° P/b~li P /a /'
1.2 LRSTaxIDNo.:
2. Operation name (pit, mine or site name): (~- l Zt t r
3. Permitted acreaee (new or eustmQ siteZ
4. Fees:
4.1 New Application
4.2 Conversion Fee (from 1104 to 110(2), (Role 1.11.2(2))
.3 permitted acres
$875.00 application fee
$875.00 conversion fee
5. Prrmarveommoditie(s)tobemined: SmD d2f~Q,3vni~~Z, ' ~e M7G(!'x~i° rYI i~z°/tt/S
6. Name of owner to the surface of affected land: y S . Ue0 f o ~ ~tl /r G U~'~•Vt (,-S • ~a/eS f' ~P~/'ih tQ.
-~
7. Name of owner to the spbsurface riRhhts of affected hand: ~aS>o0~, ~ ' Ds/yti-S
8. Tvce of minin¢ operation: ~_ Suiface Underground ~_ In-situ