PERMFILE113428

• Permit No: M2000037
• IBM Index Class Name: Permit File
• Doc Date: 3/9/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Depanment of Natural Rewurces
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX:[phone]
RECEIVED
MAR ~ g 2000
MATBRIALS f Mi~taia & Ge°IO9Y
LIMITED II~ACT OPBRATION
plvislon o
(llo)
RESOURCE'
Roy Rorer
RBCLAMATION PHRMZT APPLICATION FORM ~K*~
lames 5. Lachhead
Eaecurive Onector
MichaN B. long
Division D"ecror
CHECK ONE: ~j_ New Application (Rule 1.4) Amendment Application (C.R.S. 34-32.5-110)
Conversion Appli/elation (Rule 1.11)
Permit # ~-~- y ~~ -_ (provide for Amendments and Conversions of
existing permits)
The application for a Construction Materials Limited impact Mining (110) Operation ReclamaL(ion
Permit contains three major parts: (1) the application form; (2) Exhibits A-J and Exhibit L,
Addendum 1, any sections of Exhibit 6.5 sad Geotechnical Stability Exhibit, as required by the
Office, and outlined in Rules 6.1, 6.2, 6.3, and 6.5; 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 iv_r~ application form, two (2) copies of Exhibits A-J and
-°hibit L, appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check
.r the 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 it" or B 1/2" X 14" size. To expedite processing,
please provide the information in the format and order described in this form.
G»'RnT• OPERATION INFORMATION
Typo or print clearly, is the apace provided, all information described below.
6 OC _ -
1. Applicant/operator or camoaav name (name to be used on permit):
u;~ x)anco Conn~y Road and Bridge
1.1 Type of organization (corporation, partnership, etc.): County Government
1.2 I.R.S. Tax ID No. or Social Security Number:
z. aeration name (nit, mine or site name): Baxter Pass Gravel Pit
3. Permitted acreage (new or exietina site): x•80 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area 7.80 acres
4. Fens:
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 ilOd to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie(s) to be mined: Gravel
5.1 Incidental commoditie(s) to be mined: 1. Crav 1 - 20.000 lbs/Tons/yr
2. / lbs/Tons/vr 3. / lbs/Tons/yr
/ lbs/Tons/vr 5. lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined: Road SurfaClnq
5.3 Anticipated end use of incidental commoditie(s) to be mined: gPdding/RIP Rap