2008-10-21_PERMIT FILE - M2008072

• Permit No: M2008072
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/21/2008
• Doc Name: New 110c Appl.
• From: Randy Schafer for Tim Carper
• To: DRMS
• Media Type: D
• Archive: No

-/V - Zee- o7 2
STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX; [phone]
CONSTRUCTION MATERIALS
LIMITED IMPACT (I 10) OPERATION
RECLAMATION PERMIT APPLICATION FORM
COLORADO
. D I V IS 1 0 N Or
RECLAMATION
MINING
SAFETY
Bill Ritter, Jr.
Governor
Harris D. Sherman
Executive Direrior
Ronald W. Cauany
Division Director
C.H.ECK ONE: There is a File Number Already Assigned to this Operation Natural Resource Trustee.
Permit : (Please reference the file number currently assigned to this operation)
X New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # M (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (]) the
application form; (2) Exhibits A-J, Exhibit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required
by the Office, and outlined in Rules 6. I, 6.2, 6.3, 6.5, and I.6.2(1)(b); and (3) the application fee. When you submit your application, be
sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two (2) copies
of Exhibits A-J, Exhibit L, Addendum. 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for
the application fee described under (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to 8 1/2" X
I I" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. An ulicant/operator or company name (name to be used on permit): Tim Carper_ _._
1.1 Type of organization (corporation, partnership, etc.): Tndivi dual ------
2. Op eration name (pit, mine or site name): Carper Pit #2
3. Permitted acreage (new or existing site): permitted acres
3.1 Change in acreage (.,..) ........... ,_.__._..._. .._.... acres
3.2 Total Acreage in Permit Area _._9_._.9......... _-.. _...... acres
4. Fees: -)
4.1 Nevi, Application: '1 58«00 a.pplica.lu.on fee
Amenclivent. Fee. (C.Rt S. 34-32.5-12501)): 5€327.00 application fee
4.2 Conversion. Fee (fiom 110d to I R) $1,258.00 conversion fee. (Mule 1.1 1.2(2))
5. Primary commoditie(s) to be mined: __Gr,augl -._.t;la3r._.._ ._.._S.and_.-
5.1 Incidental coinmoditie(s) to be mined: 1..,_..__...._ilbs/Irons/yr 2. ...... _lbs/Tonsryr 3. _lbst_Tons;'vr
4.._._._._...,%_._._.__ihsrl'orWvr 5.
5.2 Anticipated end use ofprinlary commoditie(s) to be ruined: Road construction _._.-___._ -_.._-___
Antici.patedend use crfincidental commoditie(s) to be mi.n.ed:
Office of
Mined Land Reclamation
Denver • Grants )unction • Durango
Office of
Active and Inactive Mines