Laserfiche WebLink
TATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources RECEIVED \~ <br />1 } 1 }Sherman St., Roam 21 i <br />Denier, Colofado 00203 <br />D I `/ I S I O N O <br />2 2 <br />Phone: (303) 866-}567 / CONSTRUCTION MATERIALS MAR <br />2004 M I N E [ZA L <br />FAx: (3031 a32-aloe / REGULAR (112) OPERATION & <br /> Division of Minerals & Geolog G E O L O G <br />RECLAMATION PERMIT APPLICATION FOR~YI R E C ~ A M A T I O' <br /> MININC•$Af ET <br /> BiB Owens <br /> <br />CHECK ONE: There is a File Numb~f Already Assigned to this Operation Governor <br />I/ Greg E. Walther <br />Permit # M -ZZDa~~ (Please reference [he file number currently ass igned to this operation) Exec°`~°e ogre"°` <br />Michael B. Long <br />_~ New Application (Rnle L45) ~ Amendment Application (Rule 1.10) o~~~:.on Olrecror <br />Conversion Applicatiou (Rule 1.1 I) <br />Permit # M - ! _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regalar 112 Operation Reclamation Permit contains three major parts: (I) rite application form; <br />(2) Exlubits A-S, Addendum I, any sections of Exfubit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submit your <br />application, be sure to include one (1) complete siffied and notarized IVORY ORIGINAL and four (4) copies of the completed Ivorv <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 65 (Creotechnical Stability Exhibit, and a check for <br />rite application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />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. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />1.1 Type of orgattization (corporation, partnership, etc.): County Government <br />1.2 I.RS. Tax I.D. No. or Social Security Number: <br /> <br />3. <br />Operation name (oit, mine or site Daniel: <br />Permitted acreage (new or existin¢ site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. <br />~. <br />Fees <br />160 permitted acres <br />acres <br />160 acres <br />4.1 New Application $2 344.00 apphcation fee <br />4.2 New Quarry Appbcation $2.406.00 quarry application <br />4.4 Amendment Fee $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by s[am[e) $2,344.00 conversion fee <br />Primary commoditie(s) to be mined: Gravel Sand Clay <br />~.1 Incidental commoditie(s) to be mined: I. / IbslCons/vr 2. / Ibs/Tons/vr 3. / Ibs/fonsht <br /> 4. / 1bs/Tons/vr 5. / 1bs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) [o be mined: Rnad hni 1 di ng and maintenance <br />5.3 Anticipated end use of incidental wtttmoditie(s) to be mined: Road building and raintenance <br />