Laserfiche WebLink
99iniiiiii <br /> STATE OF COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY <br /> Department of Natural Resources RECEIVED 1313 Sherman St.,Room 215 R ` Pf <br /> Denver,Colorado 80203 D I v 1 5 1 0 N O F <br /> Phone:(303)866-3567 CONSTRUCTION MATERIALS OCT 3 12001 MINERALS <br /> FAX:(3031 832-8106 /t� Sc <br /> appl" LIMITED IMPACT(110)OPERATIOafvision of Minerals and GeolagY GEE L n T l O N <br /> flh —Y RECLAMATION PERMIT APPLICATION FORM MINING-SAFETY <br /> Bill Owens <br /> Governor <br /> Greg E.Watcher <br /> CHECK ONE: There is a File Number Already Assigned to this Operation Executive Director <br /> Permit# M -C?001- 0 lease reference the file number curren assi ed to this operation) Dichael a.Long <br /> �'_ 1' gn Division Director <br /> X New Application(Rule 1.4.5) —Amendment Application(Rule 1.10) <br /> _Conversion Application(Rule 1.11) <br /> Permit# lvt -___ (provide for Amendments and Conversions of existing permits) j <br /> The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br /> application form;(2)Exhibits A-J,Exhibit L,Addendum 1,any sections of Exhibit 6.5 and Geotechnical Stability Exhibit,as required by the <br /> Office,and outlined in Rules 6.1,6.2,6.3,6.5,and 1.62(1)(b); and(3)the application fee. When you submit your application,be sure to <br /> include one(1)comnlete signed and notarized IVORY ORIGINAL and one(1)copy of the completed I_v=application form,two(2)copies <br /> of Exhibits A-J,Exhibit L,Addendum 1,and appropriate sections of 6.5(Geotechnical Stability Exhibit),as required, and a check for the <br /> 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 11"or <br /> • 8 1/2"X 14"size. To expedite processing,please provide the information in the format and order described in this form. <br /> ERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided, ALL information described below. , /0�8� <br /> 41,OW.oD <br /> 1. Applicant/oruerator or company name(name to be used on permit): <br /> jLI,@r€gpo rnunr}+ <br /> I-I Type of organization(rorporation,partnecship,etc-): Colorado County <br /> 1.2 I.R.S.Tax ID No.or Social Security Number:2.: 84-6000 772 <br /> 2. Operation name(pit,mine or site name): Or]andn Pit <br /> 3. Permitted acreage(new or existing site): 9 0(_ permitted acres <br /> 3.1 Change in acreage(+) acres <br /> Total Acreage in Permit Area 9.9(o acres <br /> 4. Fees: <br /> 4.1 New Application: 61,094.00 application fee <br /> Amendment Fee(C.R.S.34-32.5-125(U)): S719.00 application fee <br /> 4.2 Conversion Fee(f-om 11 Od to 110 8$ 75.W conversion fee(Rule 1.11.2(2)) <br /> 5. Primarvcommoditiefs)tobemined: Cnnri r_rn17c1 <br /> 5.1 Incidental commoditie(s)to be mined: 1. 0 / Ibs(rons/vr 2. / Ibs/Tons/vr 3. / Ibs(ConW/yr <br /> . 4. n / Ibs/Tons/vr 5. / Ibs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: Use on County Roads <br /> Anticipated end use of incidental commnditie(s)to be mined: N/A <br />