PERMFILE114168

• Permit No: M2000066
• IBM Index Class Name: Permit File
• Doc Date: 5/15/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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~~t'~T~ OF COLORADO
DIVISION OF MINERALS AND GEOLOGN ~G~~IV6~
Uepanmem of NaWral Resources
1313 Sherman Sl.. Room 215 MAY ~ ~ 2U~0
Dem~er. Colorado 80?03 DIVISION O F
Phony: !3031866-3567 MINERAL S
FAX:[phone] / Division of Minerals&Geology &
`~ _~~-a-D-D~~ GEOLOGY
0.ECLAMATION
MINING•SAFETY
CONSTRUCTION MATERIALS
size oven,
LIMITED IMPACT (I10) OPERATION Governor
Gre6 E. Walther
RECLAMATION PERMIT APPLICATION FORM Executive Director
Michael B. Long
Division Director
X
CHECK ONE: New Application (Rule 1.4) Conversion Application (Rule 1.1 ] )
Amendment Application (C.R.S. 34-32.5-110)
Permit # M -_ _ _ (provide for Amendments and Conversions of existing permits)
The applitxtion for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A-1, Exhibit L, Addendum 1, arty 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) wmolete si eng d and
notarized IVORY ORIGINAL and one (1) copy of the completed Ivorv application form, two (2) copies of Exhibits A-], Exhibit L, Addendum 1, and
appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for the application Fee described under (4) below. Exhibits should
NOT be bound or in a 3-ring binder, maps should be folded to 8 12" X 11" or 8 12" X 14" size. To expedite processing, please provide the information
in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. ApolicanUooentororcomoaovname(nametobeusedonpermitl: Lincoln County
1.1 Type oforgani7ation(corporation,partnership,etc.): government
1.2 I.R.S. Tax ID No. or Social Security Number:
2. Ooerationnamefoit,mineorsitenamel: Raymond Enderson Pit
3. Permitted acreage (new or e:istine site): permitted acres
3.1 Change in acreage (+) acres
Total Acreage in Permit Area ~ 9 • 9 acres
4. Fees:
4.1 New Application: _ 5875.00 application Tee
Amendment Fee (C.R.S. 34-32.5-125(11)): 575.00 application fee
4? Conversion Fee (from I I Od to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Primarvcommoditie(sltobemined: sand 4ravel
5.1 Incidental commoditie(s) [o be mined: I.none/ Ibs/fons/vr 2. / Ibs/I'ons/vr 3. / Ibs/fons/vr
4. / Ibs/fons/vr S. / Ibs/Tons/vr
5.2 Anticipated end use of primary commoditie(s)tobemined: Road maintenance
5.3 Anticipated end use of incidental commoditie(s) to be mined: none