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 ~~C;~'`~•D <br />Phone: (303) 866-3567 R 1IG CONSTRUCTION MATERIALS <br />FAX: (303) 832-8106 REGULAR (112) OPERATION <br />APR ~ 9 200TRECLAMATION PERMIT APPLICATION FORM <br />Division of R®clamilttion. <br />Mfning and Safety <br />COLORADO <br />DIVISION O F <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Owens <br />Governor <br />CHECK ONE: There is a File Number Already Assigned to this Operation Russell George <br />;~/ ,~i ive Director <br />Permit # M -~-~-~ (Please reference the file number ctnTently assigned to this opera <br />Ronald W. Cattany <br />New .Application (Rule 1.4.5) Amendment Application (Rule 1.10) pivision Director <br />Natural Resource Trustee <br />l~ Conversion Application (Rule 1.11) <br />Permit # M -~~-~-~ (Provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regulaz 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geoteclrnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete sieved and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 1/2" X 11" 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 />Type or print clearly, in the space provided, ALL information requested below. <br />1. Aaalicant/ooerator clr comoanv name (name to be used on aermit): <br />1.1 Type of organization (corporation, partnerslip, etc.): CC~/~.Pvl~l~l O/v <br />l~ <br />mine or site name): f'J ~ <br />it <br />( (~lv ~ ~n/~'Q- ~ ~~"~A'tl <br />, <br />, <br />a <br />2. Operation name <br /> <br />_ - <br />-- - 3. - Permrtteaacrea>?e (o~ew or egistii~e site): - - <br />_ _ _ _ _ - _ _ _ - - _ <br />_ -- - _. _ _ _C~ gam- ~er~nitted~cres- - <br />3.1 Change in acreage (+) ~ _ acres <br />~~t ]J~ acres <br />3.2 Total acreage in. Permit area <br />4. Fees: $2,344.00 application fee <br />4.1 New Application <br />$2,906.00 quarry application <br />4.2 New Quarry Application $1,938.00 amendment fee <br />4.4 Amendment Fee; <br />5 Conversion to 112 operation (set by statute) <br />4 $2,344.00 conversion fee <br />. <br />r t <br />~e i <br />ined:) ~ ~~~~~ia~ <br />b <br />t <br />( <br /> <br />~~G `~ ~ ~~a~ <br />e m <br />_s) <br />o <br />5. Primary commoditie <br />GQ lbs/Tons/fir <br />/h~ fDA~ / lbs/Tons/vr <br />2. <br />r <br />5.1 Incidental comn:toditie(s) to be mined: 1. , <br />J!> _ <br />3 / lbs/Tons/vr 4. / lbs/Tons/vr ~ 5~ / albs/Tons/vr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: i ~ ~~.t~l?d~-~j~ ~ ~ <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: ~ ~~' <br />Office of <br />Office of Active and Inactive Mines <br />AAinPr1 I and RPClamatinn <br />