Laserfiche WebLink
~ zoos-0~5 <br />T~~F COLORADO <br />DIVISION OF MINERALS AND GEOLOGY fOR SCANN/~/G <br />Department of Natural Resources <br />1313 sherman st., Room 215 a~._~- ~ COLORADO <br />Denver, Colorado 80203 DIVISION O F <br />CONSTRUCTION MATERIALS <br />Phone: (303) 8663567 ~, MINERAL S <br />FAx: (303) s32atob REGULAR (112) OPERATION ~~~ I " 2C05 & <br />GEOLOGY <br />RECLAMAT[ONPERMTI'APPLICATIONFORM OtYl~~att9lr+fa~,&C~ala ~E SAFETY•SCIENfENG <br />Bill Owens <br />CHECK ONE: There is a File Number Already Assigned to this Operation covemor <br />Greg E. Walcfier <br />Permit # ~v1 -~ _ _ (Please reference the file number currently assigned to this operation) Executive Director <br />•/ Nnr Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) Ronan w. Canany <br />_ Conversion Application (Rule 1.11) Division Director <br />NaNral Resource TnrAee <br />Permit # M -_ _ (provide for Amendments and Conversions of existing permits) <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 ofExhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you submityour <br />application, be sloe to include one (1) complete sued and notarized IVORY ORIGINAL and one (1) copy ofthe completed I~ application <br />form, two (2) copies ofExhibits A-S, Addendum 1, appropriate sections of6.5 (Geotechnical Stability Exhibit, and a check for the application <br />feedescribedtmderSection(4)below. ExlribitsshotildNOTbeboundorina3-ringbinder,mapsshouldbefoldedto81/2"X11"or812"X <br />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 apace provided, ALL information requested below. <br />1. Aoo6cant/ocentor or company name (name to be used on cermitl: (a a~ ~y G I f L LG <br />1.1 Type~on (corporation, Partnership, etc.): L- r m i f ~ d Li ab i I i ~-.a LoM ~a~_ <br />l.2 I.RS. Tax I.D. No or Social Security Number: S4- - ~1S9o7 7 <br />2. Operation name (olt, mine or site Hamel: <br />~I <br />3. Permitted acreage (new or eaiatin¢ site): <br />3. ] Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4. i New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />'ylO.~j permitted acres <br />N/s} acres <br />210.9 acres <br />$2.344.00 application fee <br />$2.906.1)0 quarry application <br />$1.938.00 amendment fee <br />$2.344.00 conversion fee <br />5. Primary commoditklsl to be mined: S 2.n d r ve I 6 ~ n 2. <br />5.1 Incidental commoditie(s) to be mined: 1. - Ibs/Tons/vr 2. / lbs/I'ons/vr <br />3. / lbs/Tons/vr 4. / ]bs/I'onshr 5. / Ibs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: qQ~ ~ v pat( Lon ~-rYaa L-I-+~ O~'1 <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />Office of Office of Colorado <br />Minwl ~ amt Rerl~ma~i..n A[tive and Inac7ive Minec r:r.nlrwi~al Gwav <br />