2010-03-30_PERMIT FILE - M2010019

• Permit No: M2010019
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/30/2010
• Doc Name: New 112c application
• From: Thomas H Smith
• To: DRMS
• Email Name: DMC
• Email Name: SSS
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY me.-
Department of Natural Resources
1313 Sherman St., Room 215
C O L O R A D O
Denver, Colorado 80203
Phone: [phone] CONSTRUCTION MATERIALS D I V I S I O N o f
N
FAX: [phone] REGULAR (112) OPERATION MINING
RECLAMATION PERMIT APPLICATION FORM SA FETY
N`- a o 1 o - o L? ll

CHECK ONE: ? There is a File Number Already Assigned to this Operation Ritter. Jr.
Bi
Governor
Harris D. Sherman
M (Please reference the file number currently assigned to this operatiox)ecutive Director
Pel
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New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Ronald w. cattany

lication (Rule 1
Conversion A
11) Division Director
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Permit # M - - - (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application
form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; 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-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for
the application fee described under Section (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 requested below.
1. Applicant/oyerator or company name (name to be used on permit):
U 1 /?N ?i C.
1.1 Type of organization (corporation, partnership, etc.): 1 N Di
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on name (p
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3. Permitted acreage (new or existing site): 3 permitted acres
3.1 Change in acreage (+) acres
3.2 Total acreage in Permit area acres

4. Fees: Division u'i
4.1 New Application Wof pq and &*4y, $2,696.00 application fee
4.2 New Quarry Application $3,342.00 quarry application
4.4 Amendment Fee $2,229.00 amendment fee
4.5 Conversion to 112 operation (set by statute) $2,696.00 conversion fee
5. Primary commoditie(s) to be mined: SA k) ,{
t?l4VNL /f? A1?E?2,d L
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr 2. / lbs/Tons/vr
3. / lbs/Tons/yr 4. / lbs/Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: t3A au 1 d t G ?l 4 D 5
5.3 Anticipated end use of incidental commoditie(s) to be mined: 014
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines