2010-01-26_PERMIT FILE - M2010007

• Permit No: M2010007
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/26/2010
• Doc Name: New 110c application
• From: Northwest Aggregates Inc.
• To: DRMS
• Email Name: GRM
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
RE/?
LEVED
1313 Sherman St., Room 215 COLORADO
Denver, Colorado 80203
Phone: [phone] a? 1 V O? JAN 2 6 2010 ION OF
ION
NING
FAX: (303 ) 832.8106
Division of RedW1111100n•
MWft MW Sd* SAFETY
CONSTRUCTION MATERIALS Bill Ritter, Jr.
LIMITED IMPACT (110) OPERATION Governor
Harris D. Sherman
RECLAMATION PERMIT APPLICATION FORM Executive Director
Ronald w. caltany
Division Director
CHECK ONE: There is a File Number Already Assigned to this Operation Natural Resource Trustee
Permit # M (Please reference the a umber currently assigned to this operation)
rX, New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
TT 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 sieved 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. Ayalicant/oyerator or company name (name to be used on permit):
1.1 Type of organization (corporation, partnership, etc.): C q- r >ad irk
2. Operation name (pit, mine or site name): IAIA N 0 1? 147:
3. Permitted acreage (new or existing site): 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. Primary commoditie(s) to be mined: -M
5.1 Incidental commoditie(s) to be mined: 1. I lbs.
4. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined:
Anticipated end use of incidental commoditie(s) to be mined:
2.42 &9Z01bs/ ? yr 3. / lbs/Tons/vr
5. / Llbs/Tons/yr
ClJf'I S G /cam-t2 ??i°/ 4 Zr
Office of - Office of
Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines