PERMFILE135158

• Permit No: M1998054
• IBM Index Class Name: Permit File
• Doc Date: 7/13/1998
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGY
Departrtrem of Nawral Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: (303) 86b3567
FAX:[phone]
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JUL. 13 1998
CONSTRIICTION yy-~t'tcttrar.a Oms~on of Minerals 8 Geology
LffiTBD I!O?ACT OPERATION (110)
Ror Nnmer
RECLAMATION PSRtdIT APPLICATION FORM ~~
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CHECK ONE: X Nar- Application (Rule 1.4) Amendment Application (C.R.S. 34-32.5-110)
Convaraioa Application (Rule 1.11)
Permit # - -_ (provide for Ameadmante and Conversions of
existing permits)
The application for a Construction Materials Limited Impact Mining (110) Operation ReclamaL(ior.
Permit contains three major parts: (1) the application form; (2) Exhibits A-J and 8xhibit L,
Addendum 1, nay sections of Exhibit 6.5 sad Geotechnical Stability Exhibit, ae required by the
Office, and outlined in Rules 6.1, 6.2, 6.3, and 6.5; and (3) the application fee. When yot
submit your application, ba sure to include one (i) complete sinned and notarized IVORY ORIG7NAi
and one (1) copy of the cottrpleted ivor application form, two (2) copies of Exhibits A-:J anc
Exhibit L, appropriate sections of 6.5 (Geotechaical Stability Exhibit), ae required, sad a checY.
for the application fee described under (4) below. Exhibits should NOT be bound or in a 3-tint
binder; maps should be folded to 8 1/2" R il" or 8 1/2" X 14" size. To expedite processing,
please provide the information in the format and order described is this form~~~~yy//-- tttt
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r-~ac~onr. OPERATION .INFORMATION m, l 8 ~ t1 ~9 '
Type or priest clearly, in tha apace provided, ;all information deacribea~below.
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1. Applicant/oaerator or camaaav name (acme to be used on permit):
Rio Blanco Countv Road and Brides
1.1 Type of organization (corporation, partnership, etc.): Countv Gove
1.2 I.R.S. Tax ID No, or Social Security Number:
2. Operation name (pit, mina or site name): East Douglas Creek Gravel Pit
3. Permitted acreage (new or existiaa sits): 9.99 permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area 9.99 acres
4. Fees:
4.1 New Application 5 875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) 5 575.00 application fee
4.2 Conversion Fee (from 110d to 110 5875.00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie(s) to be mined: Gravel
5.1 Incidental commoditie(s) to be mined: 1.Gravel - 20,000 lbs ons/Yr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/yr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Road S~ f ping
5.3 .anticipated end use of incidental commoditie(s) to be mined: B ~ldina _