Laserfiche WebLink
Imo' 2-® /(n - oe <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY ?44) <br />Department of Natural Resources <br />1313 Sherman St., Room 215 CVV/ <br />Denver, Colorado 80203 C C k D R A D O <br />Phone: (303) 866-3567 D i v f& f o ON o r <br />FAX: ±303) 832-8106 CONSTRUCTION MATERIALS RECLAMATION <br />MINING <br />REGULAR (112) OPERATION -&- <br />RECLAMATION PERMIT APPLICATION FORM SAFETY <br />Siff Ritter, )r. <br />Gcver. nor <br />CHECK ONE: There is a File Number Already Assigned to this Operation Harris D. Sherman <br />Executive Director <br />Permit # M (Please reference the file number currently assigned to this operatiildald W. Catrany <br />X New Application. (Rule 1.4.5) Amendment Application (Rule L I0) Division Director <br />Conversion Application ("Rule 1.l l) Natural Resource Trustee <br />-- -- <br />Permit ## . M (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical. Stability :Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 112" X I I " or 8 112" X 14" size. To expedite processing, please provide the information in the format and order described in this form. <br />GENERAL, OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL, information requested below. <br />1. Applicant/operator or company name (name to be used on permitEASTERN COLOt+wDO slGaaEtw-cos R l.. t.. t_. <br />1.1 Type of organization (corporation, partnership, etc.): <br />F_CatsTIcFED LtM?TEV _t.?1l.?T-t-+M?TED PARTNERSHIP Ci<d+.`.t-.P? <br />2. Operation name (pit, mine or site name): _ S ??cs ?IT 10 Z <br />3. Permitted acreage (new or existing site): permitted acres <br />3.1 Change in acreage (-t-) acres <br />I? LQ Fe+' <br />3.2 Total acreage in Permit area acres <br />4. Fees: <br />4.1 New Application DiVisiort $2,696.00 application fee <br />4.2 New Quarry Application of Reclamation Mining $? Saafefety $3,342,00 quarry application <br />4.4 Amendment Fee $2;229.00 amendment fee <br />4,5 Conversion to 112 operation (set by statute) / 96 -00 conversion fee <br />5. Prtnlary coatnnoditie("s) to he rnitted: R%,? - 4yt ) S "-- i ?g,,,,e??w•n?_ASQwk?T_?2!15? CoNcg. ? 3ZTS? -- <br />SA Incidental commoditie(s) to be mined: I: 2. Ibs/Tons/vr <br />- <br />?..r lbs/ns 4. ?' lbs'I'ons?y2 5. -8' l.bs11'on51 r <br />5.2 Anticipated end use of primary commoditie(s) to be mined: <br />t <br />5.3 Anticipated end use ofIncidental commoditie(s) to be mined: -_-' e. N%g&q o'l?'[1C VG? u>N <br />Office of <br />,Mined Land Reclamation <br />Denver • Grand Junction • Durango <br />Office of <br />Active and Inactive !vtines