2010-12-07_REVISION - M1990134 ‎(7)‎

• Permit No: M1990134
• IBM Index Class Name: REVISION
• Doc Date: 12/7/2010
• Doc Name: 110c Amendment Application
• From: Jim H. Ross and Kathleen H. Ross
• To: DRMS
• Type & Sequence: AM1
• Email Name: DMC
• Media Type: D
• Archive: No

! M-199 ? t3?
F COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources DEC 0 7 2010
1313 Sherman SL, Room 215
GRAND JUNG FION FIELD OFFICE
Colorado 80203 Novi"
Denver COLORADO
DIVISION OF
RECLAMATION
,
DI1/ISiON OF
Phone: [phone]
q 2010 RECLAMATION MINING & SAFETY MINING
FAX: [phone] SAFETY
-not ReC'

t!!9 sl%Cb SN TRUCTION MATERIALS
DWOO
WrI

Bill Ritter, lr.
Governor
LIMITED IMPACT (110) OPERATION Barris D. Sherman

RECLAMATION PERMIT APPLICATION FORM Executive Director
cutive
tenor
Ro
Division Director

El There is a File Number Already Assigned to this Operation Natural Resource Trustee
CHECK ONE:
Permit # M - _-- (Please reference the umber currently assigned to this operation)
New Application (Rule I A-5) -EL Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
- (provide for Amendments and Conversions of existing permits)
Permit # M - -
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(1)(b); and (3) the application fee. When you submit your appli co be
sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed application form, two () p
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 81 /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.
t1 12055 °? tJ 0ihl>
1. A licant/oyerator or company name (name to be used on Dermil3:
Ttf 1 VQ? kajnd?Dw_ e
1.1 Type of organization (corporarion, partnership, etc.):
2. Operation name (yit- mine or site name): ? DSS P I
5 3- permitted acres
3. Permitted acreage (new or existing site):
acres
b?L-
3.1 Change in acreage (+)
_ acres
3.2 Total Acreage in Permit Area ?
4. Fees:
Y51,258.00 application fee
8S 27.00 application fee
4.1 New Amendment Fee Application: (C.R.S. 34-32.5-125(II)): x
4.2 Conversion Fee (from 110d to 110 $2.696.00 conversion fee (Rule 1.11.2(2))
`? , •?y
5. Primary commoditie(s) to be mined: ? ?p?P
5.1 Incidental commoditie(s) to be mined: (/ -) P onsIn 2. / lbs/TonsJvr 3. / lbs/Tons/yr
4. 1 lbs/Tons/vr 5. 1 lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined:
Anticipated end use of incidental commoditie(s) to be mined:
Office of
Office of Active and Inactive Mines
Mined Land Reclamation Denver • Grandlunction • Durango