2009-09-10_PERMIT FILE - M2009074

• Permit No: M2009074
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/10/2009
• Doc Name: New 110c Appl.
• From: Environment, Inc. for Colorado Backhole Service
• To: DRMS
• Media Type: D
• Archive: No

M- 2009- D7V
STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources RecE-1v
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1313 Sherman St., Room 215 e®
Denver, Colorado 80203 ?+?^
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Phone: [phone] i 2009
FAX: [phone]
Division of R,
lamcltion,
Mining and ,
Saf,fiv
CONSTRUCTION MATERIALS .,
LIMITED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
COLORADO
D 1 V 1 5 I O N Of
RECLAMATION
MINING
SA FETY
Bill Ritter, Jr.
Governor
Harris D. Sherman
Executive Director
Ronald W. C.,attany
Division Director
CHECK ONE: F-1 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 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.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. Applicant/overator or company name (name to be used on permit): Colorado Backhoe Service
1.1 Type of organization (corporation, partnership, etc.): private operator with a registered trade name
2. Operation name (pit, mine or site name): The Orr Pit
3. Permitted acreage (new or existing site): 9.99 permitted acres
3.1 Change in acreage (+) 0 acres
3.2 Total Acreage in Permit Area 9.99 acres
4. Fees:
4.1 New Application: 1258.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)):#?AC application fee
4.2 Conversion Fee (from 110d to 110 $2,696.00 conversion fee (Rule 1. 11.2(2))
5.
Primary commoditie(s) to be mined: Sand Gravel Borrow
5.1 Incidental commoditie(s) to be mined: 1. / lbs/Tons/yr
4. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined:
Anticipated end use of incidental commoditie(s) to be mined:
2. / lbs/Tons/yr 3. / lbs/Tons/yr
5. / lbs/Tons/vr
Construction materials
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines