2009-10-26_PERMIT FILE - M2009081

• Permit No: M2009081
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/26/2009
• Doc Name: Corrected version of 110 application
• From: Tierra Piedra Ranch LLC
• To: DRMS
• Email Name: RCO
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
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1313 Sherman St, Room 215
Denver, Colorado 80203 CA
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Phone [phone]
FAX: (303) 832$106 '
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RECLAMATION
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Bill Ritter. Jr.
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LIMITED IMPACT (110) OPERATION
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Harris D. Sherman
RECLAMATION PERMIT APPLICATION FORM 2 2QQ?
AC Executive Director
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CHECK ONE: There is a File Number Already Assigned to this Operation O =n9 and Sgfaty'ian,ral Rmu^m Trim-
Permit # M - - (Please reference the a umber 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 1/211 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/oyerator or company name (name to be used on permit): lla u'c
1.1 Type of organization (corporation, partnership, etc.): LLC
2. Operation name (pit. mine or site name):
Tierra Piedra Gravel Pit
3. Permitted acreage (new or existing site): 6.4 permitted acres
3.1 Change in acreage (+) acres
3.2 Total Acreage in Permit Area 6.4 acres
4. Fees:
4.1 New Application: $1,258.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(H)): 827.00 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: gravel sand
5.1 Incidental commoditie(s) to be mined: 1. / 1bsfTons/vr 2. / lbs/Toiis/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: road base and fill material
Anticipated end use of incidental commoditie(s) to be mined:
Office of Office of
Mined Land Reclamation Denver • Grand )unction • Durango Active and Inactive Mines