2011-01-04_PERMIT FILE - M2010080

• Permit No: M2010080
• IBM Index Class Name: PERMIT FILE
• Doc Date: 1/4/2011
• Doc Name: EX. C & Ex. D
• From: Riverside Aggregates, LLC
• To: DRMS
• Email Name: JLE
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources J?
1313 Sherman St., Room 215- 0 /0 ' v
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
CONSTRUCTION MATERIALS V
LIMITED IMPACT (110) OPERATION
CHECK ONE:
RECLAMATION PERMIT APPLICATION FORM
COLORADO
D IV IS 1 ON OF
RECLAMATION
MINING
SAFETY
Bill Ritter, Jr.
Governor
Harris D. Sherman
Executive Director
Ronald W. Cattany
Division Director
There is a File Number Already Assigned to this Operation- - Natural Resource Trustee.,
Permit # M - - -? (Please reference the file number currently assigned to this operation)
New 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
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 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 descri
ed below.
1. Ap plicant/operator or company name (name to be used on permit): ?V e-I-5 ?- b
t t4 °? f e9 ? ??-L
1.1 Type of organization (corporation, partnership, etc.): ar t ?? v s h,,o
2. Op eration name (pit, mine or site name): r t ?? i c?1? i t
3. Permitted acreage (new or existine site): 9 - q permitted acres
3.1 Change in acreage (+) O acres
3.2 Total Acreage in Permit Area CR
I
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 Conversion Fee (from 1 IOd to 110 $1,258.00 conversion fee (Rule 1. (1.2(2))
5. Primary commoditie(s) to be mined: G(,Lyd Sc-nd_ 'Y
5.1 Incidental commoditie(s) to be mined: 1. QdbJ 71bs/Tons/fir 2./U.OmD - lbs/Tons3. cad d00 l Ibs/Tons/yr
4. / lbs/Tons/vr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: c5 lal C V i 1t
Anticipated end use of incidental commoditie(s) to be mined: a0. b00_5- e-
Office of Office of
Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines