2009-04-16_PERMIT FILE - M2009030

• Permit No: M2009030
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/16/2009
• Doc Name: New 110c application
• From: CBCI Gravel
• To: DRMS
• Email Name: SSS
• Media Type: D
• Archive: No

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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
RECE, RECLAMATION
APR 16 2009
Division of Reclamati Ali {titter, Jr.
M *ft and SafetyBGrn,emor
LIMITED IMPACT (110) OPERATION
? uo? ? 030 Hams D. Sherman
?_ RECLAMATION PERMIT APPLICATION FORM Executive Director
Ronald w. camny
Division Director
CHECK ONE: There is a File Number Already Assigned to this Operation Natural Resource Trustee
Permit # M (Please reference the file number currently assigned to this operation)
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: (1) 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 6.1, 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 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 81 /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.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. Applicant/ouerator or company name (name to be used on permit): (_'k (1 1 Grow e- I
1.1 Type of organization (corporation, partnership, etc.): _CACLt Wf"cL+%O11
2. Operation name (pit, mine or site name): i?-L°G rc.ue p
3. Permitted acreage (new or existing site): g • 59 permitted acres
3.1 Change in acreage (+) acres
3.2 Total Acreage in Permit Area _ acres
4. Fees:
4.1 New Application: $1.258.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(11)): 8$ 27.00 application fee
4.2 Conversion Fee (from 110d to 110 2$ ,696.00 conversion fee (Rule 1.11.2(2))
5.
q(D11 _
Primary commoditie(s) to be mined: 5 =LL
5.1 Incidental commoditie(s) to be mined: I. / lbs/Tons/vr 2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. / Ibs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: f no,ol C oy%s*rLLAi D Y)
Anticipated end use of incidental commoditie(s) to be mined:
COLORADO
DIVISION O F
M INI NG
SAFETY
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and inactive Mines