PERMFILE135077

• Permit No: M1998032
• IBM Index Class Name: Permit File
• Doc Date: 4/10/1998
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

III IIIIIIIIIIIIIIII ~
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY R
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
RECEIVED
AF'CZ 10 1998
MATERLALS
LIMITED I10?ACT OPERATION (1~lysion of Minerals 8 Geology
~~~~~
DEPARTMENT OF
NATURAL
RESOURCES
RS~.avsTION PERMIT APPLICATION FORK RoY Romer
Governor
lames 5. Lochhead
EcetuUVe Din><tor
MiChdel B. ~Ons
Division Director
CMECR ONE: ~ Nea Application (Rule 1.4) llrseadment Application (C.R.S. 34-32.5-I10)
Coaversioa Application (Rule 1.11)
Permit # - -_ (provide for Aaead~eats and Coaversions of
existing permits) m c~ O _ (~ ~Z
The application for a Construction Materials Limited Impact Mining (110) /Operation Reclamation
Permit contains three major parts: (1) the application form; (2) Exhibits A-J and Exhibit L,
Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability 8xhibit, as required by the
Office, and outlined in Rules 6.1, 6.2, 6.3, and 6.5; and (3) the application fee. When you
submit your application, be sure to include one (1) camolete signed and notarized IVORY ORIGINAL
and one (1) copy of the completed ivory application form, two (2) copies of Exhibits A-J and
Exhibit L, appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check
for the 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 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 ~fob 7
Type or print clearly, in the space provided, all information described below.
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1. Apolicant/ouerator or company name (name to be used on oermit)•
1.1 of organization (corporation, partnership, etc. COU1,~'~•~/ U~ Uf~ru In1PU~l-
1.2 I.R.S. Tax ID No. or Social Security NumbelI/r:~~ q ~- C7 q 9 q
2. Operation name (pit, mine or site name): ~~o~d ~l~
3. Permitted acreage (new or existing site): ~-Ir 9 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area ~r acres
4. Fees•
4.1 New Application S875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) S575.00 application fee
4.2 Conversion Pee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie( s) to be mined: ~Trc~Jel
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. lbs Tons
5.2 Anticipated end use of primary commoditie(s) to be mined: O
5.3 Anticipated end use of incidental commoditie(s) to be mined: