2010-12-22_PERMIT FILE - M2010084

• Permit No: M2010084
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/22/2010
• Doc Name: New 110c permit application
• From: Lost Cause, LLC
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

51'A'TE, OF COLORADO
DIVISION OF RECLAMATION, MINING A
DVartnnent of Natural Resources RECEIVED
1313 Sherman St., Room 215
Denver, Colorado 80203

q
JAN 0 3 2011
DEC ` 20 ?D /

DIVISION COLORADO
Phone: [phone]
FAX: [phone]
U M&A of iil #
CE RECLAMATION
MINING
00114 and 90W E
i 3F TY
SAF
PA_ Z 01 Q - 0,0 v CONSTRUCTION MATERIALS
N Bill R'ftr, Jr.
LEMMD IMPACT (110) OPERATIO Governor
Harris D. Sherman
RECLAMATION PERMIT APPLICATION FORM Executive Director
Ronald w. canany
Division Director
CHECK ONE: F-1 There is a File Number Already Assigned to this Operation Naarnl Resource Trustee
Permit # M -?? (Please reference the fiumber currently assigned to this operation)
? New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.1 l)
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
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 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.
1. Applicant/operator or company name (name to be used on permit): o5i ? L L ?-
1.1 Type of organization (corporation, partnership, etc.): Limited Liability Company
2. Operation name (pit, mine or site name): Lost Cause Pond
3. Permitted acreage (new or existing site): 9.9 permitted acres
3.1 Change in acreage (+) acres
3.2 Total Acreage in Permit Area 9'9 acres
4. Fees:
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 I I Od to 110 $1696.00 conversion fee (Rule 1. 11.2(2))
5. Primary commoditie(s) to be mined: Silt material from water run-off
5.1 Incidental commoditie(s) to be mined: 1. / lbslfons/vr 2. / lbs/Tons/vr 3. / lbs/Tons/yr
4. / lbs/Tons/vr 5. / lbs/Tons?vr
5.2 Anticipated end use of primary commoditie(s) to be mined: Construction material / fill dirt
Anticipated end use of incidental commoditie(s) to be mined: n/a
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines