2003-08-12_PERMIT FILE - M2003068

• Permit No: M2003068
• IBM Index Class Name: Permit File
• Doc Date: 8/12/2003
• Doc Name: Permit Application
• From: Craig J. Walker Revocable Trust
• To: DMG
• Media Type: D
• Archive: No

STATE OF
DIVISION Of MINERALS AND GEOLOGY ~t
Department of Natural Resources AUG
1313 Sherman St., Room 215 ~ 2 2003
Denver, Colorado 80203
Phone: [phone] ~irision ~l Minerals and !
FAX: [phone] CONSTRUCTION MATERIALS
LIMITED IMPACT (110) OPERATION./
E I I.®E ~ ~01P~~~~® ~IRECLAhIATION PERMIT APPLICATION FORM
®9~ ~~{//14/tl'/r'®M~
CHECK ONE:
There is a File Number Already Assigned to this Operation
DIVISION O F
MINERALS
GEOLOGY
RECLAMATION
MINING•SAFETY
Bill Owens
Cavernor
Greg E. Walther
Executive Director
Ronald W. Cattany
Permit # M -~QQ3- G -_ (Please reference the file number currently assigned to this operation) Acting D~~ision D~recror
X X New Application (Rule 1.4.5)
Amendment Application (Rule 1.10)
Convereion Application (Rule 1.11)
Permit # ~- (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the
application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exlnbit, as required by the
Office, and outlined in Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. When you submit your application, be sure to
include one (1) complete siffied and notarized IVORY ORIGINAL and one (1) copy of the completed IvOI~' apphcation form, two (2) copies
of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhtbit), as required, and a check for the
application fee descnbed ender (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8 112" X 11" or
8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this farm.
GENERAL OPERATION INFORMATION
Type or print clearly, ip the space provided, ALL information described below.
1. Ao oQcanUoperator or company name (name to be used on permit): C r a i q J . Walker Revocable !~
1.1 Type of organization (corporation, partnership, etc.): Revocable Trust T r u s t
1.2 LRS.TaxIDNo.orSocialSecurityNumber:2.:
2. Op eration name (pit, mine or ske name): Ma ry'.c Mrnlntain Gravel P it i/
3. Permitted acreage (new or existing sitel: 9 . 9 permitted acres
3. I Change in acreage (+) acres
3.2 Total Acreage in Permit Area 9 . 9 acres
4. Fees:
4.1 New Application: $1,094.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)): $719.00 application fee
4.2 Conversion Fee (from 1 IOd to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Primary rnmmoditie(sl to be mined: Grave 1 Sand t/
5.1 Incidental commoditie(s) to be mined: 1. _ 60A10 (]bs/Tons/~ 2. / Ibs/Tons/vr 3. / lbs/Tonsh7
4. / Ibs/Tons/vr 5. / IbslTons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Road C o n s t r u c t i o n
Anticipated end use of incidental commoditie(s) [o be mined: