2010-10-08_PERMIT FILE - M2010054

• Permit No: M2010054
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/8/2010
• Doc Name: Revised Pg. 1
• From: Timothy D. Williams & Betty Williams
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

STATE OF COLOFADO
DIVISION OF RECLAMATION, MINING AND SAFELY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203 D oO

Phone: [phone] I?I?
? F
FAX: [phone]

OOT 0 0 2010
CONSTRUCTION MATERI41§ivi$iLi11 Oi Reuid.llaticin
,
nJ???
LIMPPED IMPACT (110) OPERATIOW "g and Sad-,ty
Bill Ritter, Jr.
Govemor
Harris D. Sherman
RECLAMATION PERMIT APPLICATION FORM Executive Director
Ronald w. Cattany

I Division Director
CHECK ONE:
There Is a File Number Already Assigned to this Operation
Natural Resource Trustee
Permit # M -_ (Please reference the QUumber 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: (I) 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(1)(b); 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-J, Exhibit L, Addendum 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for
the application fee described under (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 described below. ,t 1 J,
1. Avplicant/oyerator or company name (name to be used on permit) TLty?o-C1'lK • ?`bl•? s r??h-5 4-yE?/ J• W ILLIt aM5
1.1 Type of organization (corporation, partnership, etc.): PARTNERSHIP
2. Operation name (pit, mine or site name):
3. Permitted acreage (new or existine site):
3.1 Change in acreage (+)
WILLIAMS PIT No. 1
9.9 permitted acres
3.2 Total Acreage in Permit Area
4. Fees:
4.1 New Application:
Amendment Fee (C.R.S. 34-32.5-125(11)):
4.2 Conversion Fee (from 110d to 110 $2,696.00 conversion fee (Rule 1.11.2(2))
acres
9.9 acres
1 58.00 application fee
827.00 application fee
5. Primary commoditie(s) to be mined: CONST. ° FILL ROAD BASE
5.1 Incidental commoditie(s) to be mined: 1. / lbs/Tons/vr 2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: ROAD BASE FOR CORDOVA WIND FARM
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