Laserfiche WebLink
~': <br />RHG _ IIIIIIIII 2 F,~ ,EIS/F=.f.~ <br />III IIIIIII ) <br />} 999 Nor 10 1995 <br />APPLICATION FORM <br />CHHCK ONH: XX New Application (Rule 1.4.5) A~endment A~~lic~y(Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M - (provide for amendments and conversions of existing <br />permits) <br />The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br />the. application form; (2) Hxhibits A-S and Geotechaical Stability Hxhibit; and, (3) the <br />application fee. When you submit your application, be sure to include one (1) signed and <br />notarized original and four (4) copies of the application form, five (5) copies of Hxhibits <br />A-R and any required sections of $xhibit S and the Geotechnical Stability Exhibit, and a <br />check for the application fee described under Section (16) on Page 3. Hxhibits should not <br />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. <br />To expedite processing, please provide the information in the format and order described in <br />this form. / <br />rte- 9~-~~ <br />GHNHRAL OPHRATION INFORMATION <br />Type or print clearly, in the space provided, all information described below. <br />e.sae.evo.cec.ceee.ceeece.eeeaceeezvv=eoeeeceove.coevcvicee.eceeecveeeeeeecoecvec.evc.eveccceo <br />i. Applicant/operator or company name (name to be used on permit): <br />Connell Resources <br />1.1 Type of organization (corporation, partnership, etc.): C_or'poration <br />1.2 I.R.S. Tax I.D. No. or Social Security Nimiber: <br />2. Operation name (pit, mine or site name): Wellineton Downs Pit <br />3. Permitted acreage (new or existing site) 109.5 permitted acres <br />3.1 Change is acreage (+ or -) (amendment or conversion) aczea <br />3.2 Total acreage in Permit area a[ses <br />.. gees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.3 Milling Application (Non-DMO) <br />4.4 Amendment Pee <br />5 <br />6 <br />7 <br />B. <br />9. <br />4.5 Conversion to 112 operation (set by statute) <br />Primary cosntoditie(s) to ba mined: sand gravel <br />Name of owner of subsurface rights of affected land: Connell Resources <br />if 2 or more owners, refer to Hxhibit O. <br />Name of owner of surface of affected land: Grant, Alexander B. <br />Type of mining operation: XX Surface IInderground <br />Location Information: the center of the area there the majority of mining will occur <br />lies in: Lorimer <br />COIINTSf <br />PRINCIPAL MBRSDIAN (check one): ~ 6th (Colorado) 10th (New Mexico) _ Dte <br />SHCTION (write number): S ~ <br />TOWNSFIIP (write number sad check direction): T XX North South <br />RANGH (write number and check direction): R ~ - Hast ~_ <br /> SBCTION (check one): _ NB _ NW _ SH ~{SW <br />QIDIRTHR/QID~RTHR 3BCTION (check one): NS NW SH SW <br />GHNSRAL DHSCRIPTION (miles and direction from nearest town and approximate elevation): <br />The site is located about 1'~ miles west of the Town of Timnath and about 2. miles <br />southeast of the City of Fort Collins, south of the Harmony Road/L-25 interchange ,. <br />elevation is 49301 MSL, <br />51.875.00 application fee <br />52.325.00 quarry application <br />53.100.00 milling application <br />S1.550.00 amendment fee <br />51.500.00 conversion fee <br />__ .~ _.ORIGINAL _ <br />