2010-12-15_REVISION - M1990134 ‎(4)‎

• Permit No: M1990134
• IBM Index Class Name: REVISION
• Doc Date: 12/15/2010
• Doc Name: Completeness items AM-01
• From: James H Ross & Kathleen H Ross
• To: DRMS
• Type & Sequence: AM1
• Email Name: DMC
• Media Type: D
• Archive: No

..s
i0
IDK1?_
A_ A`10 -13?-1
??MPZEi 1??55 ?iEMS STATE OF COLORADO

DIVISION OF RECLAMATION, MINING AND SAFETY RE

Department of Natural Resources
CEIVED
1313 Sherman St, Room 215
Denver, Colorado 8020 -`-DEC 15 2010

F
DIVISION D OF
Phone: [phone]
FAX: [phone] r 2 10 GRAND jUJ i lUo°! FIELD OFFICE
? RECLAMATION
MINING
Z
DIIASiONOF
? 0i1• RECLAMAT01 M
NING & SAFETY
I
f a
??__,,..,,???? ? SAFETY
"d ?
0k
CONSTRUCTION MATERIALS
1q4 ! Bill Ritter Jr.
LIMITED IMPACT (110) OPERATION Governor
Harris o. Sherman
RECLAMATION PERMIT APPLICATION FORM Executive Director
Ronald W. Cattany
Division Director
CHECK ONE: Z There is a File Number Already Assigned to this Operation Natural Resource True
. _?
permit # M -1 190 134 (Please reference the a umber currently assigned to this
operation)
New Application (Rule 1.4.5) IVI Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # M _ 1990 134 _ (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. Exlubits 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.
fJ'
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. Anu ffeant/oyerator or company name (name to be used on permit):
1.1 Type of organization (corporation, partnership, etc.): James H Ross 8r Kathleen H Ross
2. Ope ration name (pit, mine or site name): Ross pit
3. Permitted acreage (new or existing site). 5.66 57,406 permitted acres
3.1 Change in acreage (+) 3.84 acres
3.2 Total Acreage in Permit Area 9.50 acres
4. Fees: 9.50
4.1 New Application: $1,258.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(11)): 827.00 application fee
4.2 Conversion Fee (from 1 IOd to 110 2$.696.00 conversion fee (Rule 1.112(2))
5. Primary commoditie(s) to be mined: sand & 9ravei fill dirt
5.1 Incidental commoditie(s) to be mined: 1. soon / - lbs/Tons/vr 2. 1000/ 1-3 lbs/Tons/vr 3. / lbs/Tons/Yr
4. / Ibs/Tons/vr 5. / 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
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines