PERMFILE136277

• Permit No: M2006078
• IBM Index Class Name: Permit File
• Doc Date: 11/13/2006
• Doc Name: Original submittal of 111 Op application
• From: Flatiron Constructors, Inc.
• To: DRMS
• Media Type: D
• Archive: No

~yl~- ~0~~-07~-
STATE OF
DIVISION OF RECLAMATION, MINING AND SAFETY ~~
DePaMmis d tJnurai Resources
1313 Sherman St., Room 215 ~/y~
Denier, l;olaodo BD203 ~ CI ' ' ~I G~ Y~ ~ ~ _ . ~ ~ ~ ` `~ V '~1 C O L O R A D O
Phone: [phone] r~1, W RE M II.AMATCIrON
FA%: (3031832-0106 ~ ~ ~vu ~ ~ W"1~
PIVISIOn Of f~'eCiafYl3tlOn,
~~l . n~ s/J`bm'`(~A ~ °{'~Mining and Safety SAFETY
ONSTRUCTION MATERIALS
eat Owens
SPECIAL. (111) OPERATION ~ ~°w"1Or
Russell Oeerae
RECLAMATION PERMIT APPLICATION FORM r,cecvrwe Dinxsw
Rauld w. C+Rary
Dlvfsian Diraetar
Naeual Rnowce Trwte
The application far a Construction Maeeriala Special 111 OperatimRcelametioo Prnnit faiumajarparta: (1) the application form;
(2) Rltlubits A-I, Addendum 1, sad any sections ofExhibit 6.5 (Geotxl~cal Subility Exht'bit), a requiredby the Offrce, a~ outlined in
Rules 6.1, 6.2, 6.3, 6.5, and t.62(Ixbk (3) the application fee; (4) else Perfon®ce WanaMyand ifrequired a Firmcial Wamnry. When
you subset yDm application, be else to ®chde sae (1)eoamided, aimed and natar6ed ORIGQVAL and one (I) copyofthe wmpk0ed
application farm, two (2) oopiea of lixhrbita A-L, Addendum I, appropriate sections of Exlo'rot 6S (Gootechnical Stability ExMbit~ as
tequirod, a check f~theappliation fa dmcnbedtmdar (4) barow, aadthe 6dlyexepdodPetfasmarroe Warranty andFineaciel Warimty, if
reglmed. Exhibits should f~ 6e bound a in 3-ring binders; mgrs ahwW be folded ro 8 2" X 11" or 8 2" X 14" sine. To expedite
processing, pkme pmvide the information in the fomot and order deavt'bed in t~ form.
GENERAL OPERATION INFORMATION
Type or print dearly, la the space provided, all Wormatron desen'bed below
1. AnoNeantlooerator or a»moanv name t'name ro be need on the oermitl:
r~~Flatiron Constructors Inc ~
1.1 Type oforganiretion (corporation, partnenbip, etc.): COrAOratiOh^
2. Orxratlonaame(oif.mineordtenamet: Camenish Borrow
3. Pertdtaed aerea<e: _3Q_ Permitted Acres
4. New AonBeatros: S 781.00 Application Fee
5. Prlmarveommodifktslrobemined: Sand and Gravel
6. Nameotownertotheeurfaoeota/feetedland: Phil Camenish
7. Name of owner ro the aubaarfate rtahta of afteeted lard: Phi 1 Camen i s h
8. Tvoe of mining ooerafiom _]~ Surfice _ Underground _ Io-sita
9. • The ~ of the arw where the majority of mining will occur:
COUNTY: Weld
PRINCQ'AL MERm1AN (check one): ~_ 6th (Colorado) I01h (New Mexico) Ute
SECTION (avrite mmsber): S 1 5
TOWNSH~ (write alnnber and check direction): T 2 X Noldr South
RANGE (write mrmber std check directon): R 6 8 Favt X West
QUARTP.R SF.CITON (check oa): NE X NW SE SW
QUARTER/QUARTER SECTTON (check one): X NE NW SE SW
GENERAL. DESCRIPTION: (The mmlber of tmlcs and direction from the nearrst rows and the approximate elevation):
Oake of Office of
Mined Land Reclamation Active and Inactive Mines