Laserfiche WebLink
~ iii iiiiiiiiuiu iii <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Depanmeni of fYatural Resources u~ <br />1717 Sherman 8i., Room 21 5 f~ ~r~{~~~ <br />Dcnver, Colorado 80203 ~ / _ /~~ II <br />f'hnnc: 13031 866-3561 <br />FAk: 17031 872-8106 <br />2~ NATURAL <br />f~ CONSTRIICTION ~maurar.g <br />~~V ~~V~~ LIIQITED II~ACT (110) OPERATION ~S~U~CES <br />_.~ ~ ~ ~I L'l RECLAMATION PERMIT APPLICATION EVRM <br />1 ~„u.i <br />Division of Minerals 8 Geology <br />CHECK ONE: X New Application (Rule 1.9) Conversion Application (Rule 1 <br />Patty's Pit <br />_ Amea~p{ent A plic tion (C.R.S. 34-32.5-110) <br />Permit # J_L-~~ ~~ -_ (provide for Amendments and Conversions of <br />existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit <br />contains three major parts: (1) the application form; (2) Exhibits A-J, Exhibit L, Addendum 1, <br />any sections of Exhibit 6.5'and Geotechnical Stability Exhibit, as required by the Office, and <br />outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized IVORY ORIGINAI. <br />and one (1) copy of the completed Ivory application form, two (2) copies of Exhibits A-J, <br />Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as <br />required, and a check for the application fee described under (4) below. Exhibits should NOT be <br />bound or in a 3-ring binder; maps should be folded to S 1/2" X 11" or 8 1/2" X 19" size. To <br />expedite processing, please provide the information in the format and order described in this <br />form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />1: Ap4licant/oaerator or company name (name to be used on vermit): <br />Homer Monks Construction, Inc. <br />1.1 Type of organization (corporation, partnership, etc.) : Corporation <br />1.2 I.R.S. Tax ZD No. or Social Security Number: <br />2. Operation name (nit, mine or site game): <br />3. Permitted acreage (new or eaistinc site): <br />3.1 Change in acreage (+) <br />Total Acreage in Permit Rrea <br />4 <br />5 <br />Ror Romer <br />Governor <br />dames 5. lochhead <br />Eaeeu:ive Dvecbr <br />ntichael B. long <br />1 1 ) Di~~sion Director <br />permitted acres <br />acres <br />9.89 acres <br /> <br />Fees• y <br />9.1 New Application 5 875.00 application fee ' <br /> Amendment Fee (C.R.S. 34-32.5-125(II)) 5 575.00 application feea~ <br />9.2 Conversion Fee (from 110d to 110 5875.00 conversion fee (Rule 1.11.2(2)) r <br />Primary commoditie(s) to be mined: Sand Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr <br /> 2. / lbs/Tons/vr 3. / lbs/Tons/vr <br /> 9. / 1bs/Tons/vr 5. / 1bs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: road material <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />