2010-12-14_PERMIT FILE - M2010071 ‎(2)‎

• Permit No: M2010071
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/14/2010
• Doc Name: Completeness Docs.
• From: City of Lafayette
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Departrnent of Natural Resources RECENED
1313 Sherman St., Room 215 DEC 14 2010
Denver, Colorado 80203 COLORADO
CONSTRUCTION MATERIALS DIVISION Of
Phone: [phone] RECLAMATION
waniaom, FAX: [phone] REGULAR (112) OPERATIOPM"W o1 "' MINING
JIMMand 3011
RECLAMATION PERMIT APPLICATION
Y SAFETY
sin Ritter, lr.
CHECK ONE: ? There Is a File Number Already Assigned to this Operation Governor
Harris D. Sherman
Peff M (Please reference the file number currently assigned to this operatioa)ecu we Director
New Application (Rule 1.4.5) Amendment Application (Rule 1.10) Rom W W. CNtarry
1771 Division Director
Conversion Application (Rule 1.11) Natural Resource Tnistee
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; reaps 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. plicaut/operator or company name (name to be used on Permit): City of Lafayette
. 1.1 Type of organization (corporation, partnership, etc.): Municipal Government
2. Operation name (pit, mine or site name): Goose Haven Reservoir #2 - Complex Expansion
3. Per mitted acreage (new or existing site): 110.0 permitted acres
3.1 Change in acreage (+) acres
3.2 Total acreage in Permit area 110.0 acres
4. Fees:
4.1 New Application $2.696.00 application fee
4.2 New Quarry Application $3342.00 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: sand and
5.1 Incidental commoditie(s) to be mined: 1. Fill lbs/Tons/vr 2, Ear T-" / Not lbs/Tons/Vr
3. / lbs(Tons/vr 4. / lbs/Tons/yr 5. / lbs/Tons/yr
5.2 Anticipated end use of primarycommoditie(s) to be mined: Construction Aggregate
5.3 Anticipated end use of incidental commoditie(s) to be mined: Construction, Landscaping

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Mined Lind Reclamation Denver • Grand )unction • Durango Active and Inactive Mines