Laserfiche WebLink
• <br />REGULAR OPERATION (112) <br />RECLAMATION PERMIT <br />APPLICATION FORK! D n <br />OMCK ONE: New Application (Rule 1.4.5) XXX AmeEig l9clation (Rule 1.10) <br />Con 9 . <br />Conversion Application (Rule 1.11) JAN <br />,,,yr. <br />..N+n Ui tv11R@faf <br />Permit # 14 77 - 315 (provide for amendments and cap ?g of existing <br />permits) j)jvW1Onotwera{5 81W <br />The application for a Regular Operation Reclamation Permit contains three major parts: (1) <br />the application form; (2) Exhibits A-S and Geotechnical Stability Exhibit; and, (3) the <br />application fee. When you submit your application, be sure to include one (1) signed and <br />notarized original and four (4) copies of the application form, five (5) copies of Exhibits <br />A-R and any required sections of Exhibit S and the Geoteehnical Stability Exhibit, and a <br />check for the application fee described under Section (16) on Page 3. lxkAbita should not <br />be bound or in a 3-ring binder; maps should be folded to 8 1/2' X 11" or 8 1/20 X 14• size. <br />To expedite processing, please provide the information in the format and order described in <br />this form. <br />a.ys„zoe=rasa:sa-ssceaa?saoaisaasa==imasa:aeQaseoiitaoasna==ssso3iavsc==casanacnoazansnsaan= <br />GENERAL OPERATION INF02MATION <br />Type or print clearly, in the space provided, all information described below. <br />sas--iiOCOCaQO=a ..nLa=3Ca-1s=CVCQbaQ3QQQaCl..3iCQaiCCQCQiCY•CQQQQQliCQ7i=.-.QQ0003SQ?CCOCCiQQ3CQ7C <br />1. Applicant/operator or cocipany name (name to be used on permit): <br />ct = Payi ng_ =any <br />i.1 Type of organization: (corporation, partnership, etc.): None <br />1.2 I.R.S. Tax I.D. No. or Social Security Number: <br />2. Operation name (pit, mine or site name): Pit No 1 <br />3. Permitted acreage (new or existing site) 75 pe=itted acres <br />3.1 Change in acreage (+ or -) (amendment or ponversion) -17 atxes <br />3.2 Total acreage in Permit area 53 acres <br />4. Fees: <br />4.1 New Applications $1.895.00 application fee <br />4.2 New Quarry Application $2.325.00 quarry application <br />4.3 Milling Application (Non-DHD) $3,100.00 milling application <br />4.4 Amendment Fee $1,550.00 amendment fee <br />4.5 Conversion to 112 operation (set by statute) $1.500.00 conversions fee <br />5. Primary comm?oditie(s) to be mined: gravel <br />6. Name of owner of subsurface rights of affected land: Bestway Paving Company <br />If 2 or more owners, refer to Exhibit O. <br />7. Name of owner of surface of affected 'and: Pg-,twaL Paving- Com- any <br />e. Type of mining operation: xY Surface _ Underground <br />9. Location Information: the 2=2r of the area where the majority of mining will occur <br />lies in: weld <br />douNTSr <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) -210th (New Mexico) _... Ute <br />SECTION (write number): S <br />TOWNSHIP (write number and check direction): T.? ?y North South <br />RANGE (write number and c ion): R East KX West <br />WD ON (check one)X-U NS NW SS SSECTION (check one): NE NW SE - SW <br />ESCRIPTION (miles and direction from nearest town and approximate Zevat <br />Northwest corner of the City of Greeley, 4700 elevation <br />ORIGINAL