Laserfiche WebLink
STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-6106 <br />CHECK ONE: <br />COLORADO <br />D i v i S 1 0 N O r <br />RECLAMATION <br />MINING <br />SAFETY <br />CONSTRUCTION MATERIALS <br />SO Raer, Jr. <br />LIMITED IMPACT (110) OPERATION Govptnor <br />Harris D. Sherman <br />RECLAMATION PERMIT APPLICATION FORM Executi%-e Director <br />Ronald W, Cananv <br />Division Director <br />J? There is a File Number Already Assigned to this Operation Natural Resource Trus',ee <br />Permit # _ M - - (Please reference the file number currently assigned to this operation) <br />X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.11) <br />Permit # M (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the <br />application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required <br />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 <br />sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies <br />of Exhibits A-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for <br />' the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 U2" Y <br />1 l" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />' GENERAL, OPERATION INFORMATION <br />'T'ype or print clearly, in the space provided, ALL information described below. <br />' 1. Applicant/operator or company name (name to be used on permit): Black Diamond Minerals, LLC <br />1 . 1 Type of organization (corporation, partnership, etc.): _ T i m i t Pry T i a h i l i t 3z Corporation-_____ <br />2. Operation name (pit, mine or site name): Tepee Park Ranch Shale Borrow Pit <br />3. Permitted aereagelnew or existing site): 1 . 5 - permitted acres <br />3.1 Change in acreage (-_-) _......_...-_-----_.._...- acres <br />3.2 "Total Acreage in Permit Area 1 • 5 acres <br />4. lees: <br />4,1 New Application: 1,258.00 a ;piieatiori t o <br />' ht 1 ride ent F (C.R.S 4-32 125(_'F)): $827.00 ap'ph ratirlru fc <br />4.2 Conversion 1'ee (tote 1 10d to 110 St 258.00 con-ersion fee (Rule '(2)11 <br />1 5. <br />Primary commoditie(s) to be mined: Shale and Siltstone Bedrock <br />5.1 lulcitiental commoditie(s) to be mined: 1. Ib< Tones 2. lbsiTons?r 3. lbs `1?ons/vT <br />4. lbs_T_ons_r 5.._.. _._lhs"i:nnsyr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Road ....s.uz.f.a_e.ing._.._ma,t_er_i_a1_ ................ _.-.____-------- _ <br />Anticipated end use of incidental commoditie (s` to be mined: Not appl is-able -- <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction - Durango Active and Inactive ;tines