2010-12-21_PERMIT FILE - M2010083

• Permit No: M2010083
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/21/2010
• Doc Name: New 110c Appl.
• From: Lincoln County
• To: DRMS
• Media Type: D
• Archive: No

STAIE 6FO'66L?0?1?ADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St, Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
s3 p. . c F;;-? a
C1?E? ? tl ?L1?
COLORADO
D I V I S I O N OF
RECLAMATION
MINING
SAFETY
CONSTRUCTION MATERIA&vlSion of Reclamation,
Mining & .??c?fafij
LIMITED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
CHECK ONE: CJ
Bill Ritter, Jr.
Governor
Farris D. Shearon
Executive Director
Ronald W. CattarrY
Division Director
Natural Resource Trustee
There is a File Number Already Assigned to this Operation
Permit M _ (Please reference me umber currently assigned to thus operation)
r7i sew 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(1)(b); and (3) the application fee. When you submit your application, be
cation form, two (2) copies
sure to include one (1) complete sinned and notarized ORIGINAL and one (1) copy of the completed appli
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
Tvve or print clearly, in the space provided, ALL information described below.
1. App licant/operator or company name (name to be used on permit): L I N O N O T TN T Y
1.1 Type of organization (corporation, partnership, etc.): Local Government
2. Ope ration name (plt mine or site name): Burgess Pit
3. Permitted acreal:e (new or existins site): 9.43 permitted acres
3.1 Change in acreage (+)
acres
3.2 Total Acreage in Permit Area 9.43 acres
4. Fees:
4.1 New Application: 1$,258.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)): 827.00 application fee
4.2 Conversi<m Fee (from 110d to 110 SL696.00 conversion fee (Rule 1. 11.2(2))
5. PAmarv commoditie(s) to be mined: and Gravel
5.1 Incidental commoditie(s) to be mined: 1. 0 / 0 lbs/Tons/vr 2. ! IbslTons/vr 3. / 16s/Tons/vr
4. / lbs/fons/vr 5. / lbslTops?vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Construct and maintain county roads
Anticipated end use of incidental commoditie(s) to be mined No incidental commodities mined
office of , office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines