Laserfiche WebLink
.pp~itc~'~m / <br />~~~~~~~~~ ~ srrATr, or co~or~~o _ <br />DIVISION OF MINERALS AND GE Y <br />Department of Natural Resources G ology ~~ <br />~ u" ~'°'t-~~.: ~® <br />1313 Sherman SL, Room 21 i <br />Denver, Colorado 80203 <br />Phone: (3031 866-3567 <br />FAX: 1303) 832-8106 <br />pivisian of Minerals ant a <br />~t5.. ``J~ , u» <br />CONSTRUCTION MATERIALS / ~®~ Q ~ i ~Q1 <br />REGULAR (112) OPERATION,/ <br />RECLAMATION PERMIT APPLICATION FOl~jsion of Minerals and <br />DIVISION Of <br />M[NERA.CS <br />'GEOLOGI <br />R EC LA MATIGN <br />MIN ING•SAFETY <br />Bill Owens <br />Governor <br />CHECK ONE: _g_ There is a File Number Already Assigned to this Operation <br />Permit # M -gL- 2 7 5_/ (Please reference the fde number currently assigned to this operation) <br />New Application (Rule 1.4.5) <br />Conversion Application (Rule I.11) <br />Amendmeo[ Application (Rule 1.10) <br />Permit # M -_ _ _ (provide for Amendments and Conversions of existing perailu) <br />Greg E Walther <br />Execwive Director <br />Michael B. Long <br />Division Director <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form; <br />(2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnicat Stability Exhibth and (3) the application fce. Whett Vou submit your <br />application, be sure [o include one (1) complete silmed and notarized IVORY ORIGINAL and four (4) espies of the completed IVOLt' <br />application form, five (5) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 112" 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. Aoolicant/ooerator or comoaov name [Dame to be used on permit): <br />Diana K. Watson <br />1.1 Type of organization (corporation, partnership, etc.): i n d i v i du a 1 <br />1.2 I.RS. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site Dame): Stout -AffiT.d k P 1 t <br />3. Permitted acreaee (new or eaistine site): 4 2 • 8 permitted acres <br />3. t Change in acreage (+) acres <br />3.2 Total acreage in Permit azea 4 2 • B acres <br />4. Fees <br />4.1 New Application $2 344.00 application fee <br />4.2 Nea~ Quarry Application $2 906.00 quaay application <br />4.4 Amendment Fee $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $2.344.00 wnversion fee <br />5. Primary commoditie(s) to be mined: ~$AVEL. SAND <br />5.1 Incidental commoditie(s) to be mined: I. / Ibs/Tons/vr 2. / lbs/Tons/vr 3. / 1bslTons/vr <br /> 4. / lbs/fons/yr 5. / lbs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: General c o n s t r u c t i o n , <br />5.3 Anticipated end rue of incidental commoditie(s) to be mined: <br />