2010-08-06_PERMIT FILE - M2010054

• Permit No: M2010054
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/6/2010
• Doc Name: 110C New Application
• From: Timothy D. Williams & Betty J. Williams
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural 'Rescuroes
RECE/
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone] /'. ?7 Ct C O L O RA D O
FAX: [phone] / D I V I S I O N o f
RECLAMATION
MINING
.? SAFETY
CONSTRUCTION MA RIALS
Bill ,
o Rift Jr.
LIMITED IMPACT (110) OPERATION G
Governor
RECLAMATION PERMIT APPLICATION FORM
Harris D. Executive Director
? Ronald W. Catiany
CHE--- CIC ONE: There is a File Number Already Assigned to this Operation Division Natural ResDinecim
ource Trustee
Permit # M (Please reference the a number currently assigned to this operation)
New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
- 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(l)(b); and (3) the application fee. When you submit your application, be
sure to include one (1) ccomnlete siened and notarized ORIGINAL and one 1
of Exhibits A-J, Exhibit L, Addendum 1, and () COPY of the completed application form, two (2) copies
appropriate application fee described under (4) below. Exhibits should NOT be bound or in a 3 Stability bind?bps h requiredould and a check for folded
X
to 8 1/2 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• Aimlicant/operator or company name (name to be used on permit): Timothy D. Williams & Betty J Williams
1.1 Type of organization (corporation, partnership, etc.): nart_nprshin
2. Operation name (nit mine or site name): Williams Pit No. 1
3. Permitted acreaQp rainy or existing site):
3.1 Change in acreage (+) -9 permitted acres
3.2 Total Acreage in Permit Area acres
4. Fees: acres
4.1 New Application:
Amendment Fee (C.R.S. 34-32.5-125 1 58.00 application fee
(ID): $827.00
4.2 Conversion Fee (from 110d to 110 2 696.00 conversion fee (Rule 1. 11.2(2)) application fee
5. P commoditi s t be mined: construction fill
5.1 Incidental commoditie(s) to be mined 151L -00lb ons/ -
/ lbs/Tons/vr 3. 1bs/Tons/vr
4. - / Ibs/Tons/vr 5. _ / Ibs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined:
r
Anticipated end use of incidental commoditie(s) to be mined: C t
Office of
Mined Land Reclamation
Denver • Grand )unction • Durango Office of
Active and Inactive Mines