PERMFILE116592

• Permit No: M2002109
• IBM Index Class Name: Permit File
• Doc Date: 10/23/2002
• Doc Name: Permit Application
• From: A Blassi & Son Trucking & Earthmoving Inc
• To: DMG
• Media Type: D
• Archive: No

TATE OF COLORADO
DIVISION OE MINERALS AND GEOLOG~''t~ V V r T
Department of Natural Resources
1313 Sherman St., Room 215 ~~~, ~G',A~~,,~,~~y RECEIVED
D I v 15 1 0 N o f
Denver, Colorado 80203
Phone: [phone]
FAX: [phone] T n
~C 1 2 3 Z~il2 fVI I N E RA L S
&
GEOLOGY
CONSTRUCTION MATERIALS Givision
f Mi 1
E
M
o
nerals and Geology S A F C
N 1 N G
Y
M
LIMITED IMPACT (110) OPERATION
Bill Owens
RECLAMATION PERMIT APPLICATION FORM Governor
Greg E. Walther
Executive Director
Michael B. Long
CHECK ONE: X New Applicafion (Rule 1.4) .Conversion Application (Rule 1~~°~0o Direcor
Amendment Application (C.R.S. 34-32.5-110)
Pernli[ # M -~~~ (provide for Amendments and Conversions of exisflng permits)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A-I, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the Office, and ouflined in Rules
6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the applicaflon fee. When you submit your applicafioq be sure [o include one (1) complete siened and
notarized IVORY ORIGINAL and one (1) copy of the completed Ivory applicaflon form, two (2) copies of Exhibits A-I, Exhibit L, Addendum I, and
appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for [he applicaflon fee described under (4) below. Exhibits should
NOT be bound or in a 3-ring binder; maps should be folded to 8 1/Z" 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.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
AnolicanVoperator or comaany name (nameto be used on Aermit): A. Blasi & Sott Trucking &'EaT thmOV lnQ
Cor oration Inc.
1.1 Type of organization (corporation, partnership, etc.): P
1.2 LR.S.TaxIDNo.orSocialSecurityNumber: 84-1528288 522-06-4341
Operation name (oit, mine or site namef'UCh 8n&S : 'P i t
Permitted acreage (new or existing sitel: _9~5_ permitted acres
3.1 Change in acreage (+) acres
Total Acreage in Permit Area 9 ' S acres
Fees:
4.1 New Application: $1.094.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(In): $719.00 application fee
4.2 Conversion Fee (fiom 110d to 110 875.00 conversion fee (Rule 1.11.2(2))
Primary commoditie(s) to be mined: 1 1 / 2 " RS
5.1 Incidental commodite(s) to be mined: 30.000/ lbsrl'ons/yr 2. / 1bs/Tons/vr 3. / Ibs/Tons/vr
4. / Ibs/TOns/vr 5. / lbs/I'ons/vr
5.2 Anticipated end use of primary commoditie(s) [o be mined:
5.3 Anticipated end use of incidental commoditie(s) to be mined: