Laserfiche WebLink
<br />DIVISION OF MINERALS AND GEOLOGIY <br />Uepartmem of Nawral Resources <br />1713 Sherman SI.. Room 115 <br />Denver, Colorado BO?03 <br />Phonr: (3031 866-15h7 <br />FAY 1103) 81'-8106 <br />CONSTRUCTION MATERIALS <br />C~ ~DSq o 01 <br />~816r o0 <br />OF COLORADO <br />RECEIVED D I VISION o F <br />MINERALS <br />FEB 2 3 2001 & <br />GEOLOGY <br />0.E CLANATION <br />OivisionolMineralsandGeology MINING•SAFETY <br />LIMITED IMPACT (l10) OPERATION <br />sin Owens <br />Governor <br />Greg E. Walther <br />RECLAMATION PERMIT APPLICATION FORM Executive Direclur <br />Michael 6. long <br />Division Director <br />CHECK ONE: X New Application (Rule 1.4) Copversion Application (Rule I.1 I ) <br />Amendment Application (C.R.S. 34-32.5-110) <br />Permit # M -~~=~-IS (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (I) the application form; <br />(2) Exhibits A-J, Exhibit L, Addendum 1, arty sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules <br />6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(6); and (3) the application fee. When you submit your application, be sure to include one (1) complete sieved and <br />notari7cd IVORY ORIGUVAL and one (1) copy ofthe completed Ivory application form, two (2) copies of Exhibits A-J, Exhibit L, Addendum 1, and <br />appropriate sections of 6.5 (Getxechnical Stability Exhibit), as requ'ved, and a check for the application fee described under (4) below. Exhibits should <br />NOT be bound or in a 3-ring binder, maps should be folded to 8 1/2" X 11" or 8 12" X 14" size. To expedite processing, please provide the information <br />in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, ip the space provided, ALL iplotmatiop described below. <br />Aoplicaot/operator or cotppapy Dame (name to be used on permit): Las <br />1.1 Type oforganiTanon (corporation,parmership,etc.): County Government <br />1.2 I.R.S. Tax ID No. or Social Security Number: <br />2. Operationnamefpit,mineorsitenamel: Sandoval Land and Cattle Pit <br />3. Permitted acreaee (new or e:istinE sitel: 9.87 permitted acres <br />3.1 Change in acreage (+) acres <br />Total Acreage in Permit Area ~ 9 . 8 7 acres <br />4. Fees: <br />4.] New Application: $875.00 application fee <br />Amendment Fee (C.R.S. 34-32.5-125(11)): $575.00 application fee <br />4? Conversion Fee (from I I Od to 110 575.00 conversion fee (Rule 1.11.2(2)) <br />Gravel/Sand <br />5. Primary commoditiefsl to be mined: <br />5.1 lncidentalcommoditie(s)tobemined: 1. N/Ar Ibslfons/vr 2. / Ibsrfons/vr 3. / Ibslfons/vr <br />4. / Ibslfons/vr 5. / Ibs/fons/vr <br />5.2 Anticipa[edenduseofprimarycommoditie(s)tobemined:road construction/maintenance <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: none expected <br />