2010-05-18_REVISION - M1995027

• Permit No: M1995027
• IBM Index Class Name: REVISION
• Doc Date: 5/18/2010
• Doc Name: Additional Info.
• From: Park County
• To: DRMS
• Type & Sequence: CN1
• Email Name: DB2
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources (?' k?
1313 Sherman St., Room 215 'AN 3 DI
C, CO LOR.ADO
Denver, Colorado 80203 c? Q diVlSfOp pl• RFC iLAMATION
Phone: (303; -81106 t 866-3567 CONSTRUCTION NTATERfALS Mining ?rlatiorl MINING
FAX: [phone] and Safety - &-
REGLLAR (112) OPERATION
RECL.60MATION PERMIT APPLICATION FORM SAFETY
Bill P.iiter, Ir.
Governor
CHECK ONE: There is a File Number Already Assigned to this Operation Harris D. Sherman
Executive Director
,Permit # M (Please reference the file number currently assigned to this operatiopLdd W. catrany
New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Division Dirwor
Natural Resource Trustee
Conversion Application ule 1.11)
Permit # YI _ -qg _[___ (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 (GeoteclmicaL 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 8 112" 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, v.
1. App iicant/onerator or company name (name to be used on permit): ?9Q U DAB t ,?IQ/
1.1 Type of organization (corporation, partnership, etc.): _

1gt6 6q 2
71/7-
2. Ope ration name (pit, mine or site name):
Permitted acreage (new or existing site):
3. . 9
? permitted acres
3.1 Change in acreage (+)®'?
:
?`II _ acres
3.2 13?
Total acreage in Permit area ?..1+ 2 acres
MAY `i 2d?0
Fee s:
4.1 New Application
>atlOPl?
of Rel $2.696.00 application fee
4.2 New Quarry Application ®IVIelo?
af
W
i
? $3,342.00 qua" r application
4.4 ng
o {Min
Amendment Fee - 52,229.00 amendment fee
4.5 Conversion; to 112 operation (set by stature) V 5"206.00 couversion fee
5. Primary commoditie(s) to be mitred:
5.1 Incidental commoditie(s) to be mined: 1, -500 lbs on r 2 ! lbs/T omRNr
. 3. ! Ibs!Toris4. ! ibsiTonsh-r 5, ! lbs/I'ons/yr
Oqd ??SE
5.2 Anticipated end use of primary commoditie(s) to be mined:
5.3 Anticipated end use of incidental commoditie(s) to be mined:
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines