2010-02-10_PERMIT FILE - M2010007

• Permit No: M2010007
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/10/2010
• Doc Name: 110c Appl.
• From: Northwest Aggregates, Inc.
• To: DRMS
• Email Name: GRM
• Media Type: D
• Archive: No

STATE, OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY I
Department of Natural Resources
1313 Sherman St., Room 215 0&
Denver, Colorado 80203 FEB 10 C O L O RA D
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2 01 Q
Phone: [phone]
GRAND JLJNGT#UN
FAX: [phone] p t v 1 s t o N
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RECLAMATION
FIELD OFFICE
WIGI()N OF L IN
RECLAPggrlON MINING b SAFETY SAFETY
CONSTRUCTION MATERIALS
Bill Ritter, Jr.
LEMMD IMPACT (110) OPERATION Governor
Harris D. Sherman
RECLAMATION PERMIT APPLICATION FORM Executive Director
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! l ' 9,010 ° 007 Ronald w. cmany

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)
IZA
New A
licati
n (R
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1
4
5
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) Amendment A
- pplication (Rule 1.10)
Li
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/onerator or company name (name to be used on permit): /yf; •' ?? 1tTC.S ` ?Ty? C?t?G;(;t`l?' '
1.1 Type of organization (corporation, partnership, etc.): C_._c, r p2,D t'u + t' L (a
2. Operation name (pit, mine or site name): -ANA N ii 1?1-1
3. Permitted acreage (new or existing site): 159 permitted acres
3.1 Change in acreage (+)
3.2 Total Acreage in Permit Area
4. Fees:
4.1 New Application:
Amendment Fee (C.R.S. 34-32.5-125(II)):
acres
FEB 19 ?ojg y- 1!1 acres
DivM61017 Of ftg)? 1I W?$1 58.00 application fee
" A'6* Y 827.00
application fee
4.2 Conversion Fee (from 110d to 110 $2.6%.00 conversion fee (R
5. Primary commoditie(s) to be mined: ,M ?Xkrlj
5.1 Incidental commoditie(s) to be mined: 1. `/ ]bs on?Y
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:
ale 1.11.2(2))
2.(ri4&.?lbs/ o /vr 3. / lbs/Tons/vr
5. / Ibs/Tons,//cvr
?i1.?S fives / / !? n And 4
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines