2011-09-02_PERMIT FILE - M2011033

• Permit No: M2011033
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/2/2011
• Doc Name: Proof- To County Clerk and Recorder's Office
• From: Harry Corkle Constr.
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
CHECK ONE:
Office of
Mined Land Reclamation
CONSTRUCTION MATERIALS
LIMITED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
4,1
Bill Ritter, Jr.
Governor
Harris D. Sherman
Executive Director
Ronald W. Cattany
Division Director
Natural Resource Trustee
There is a File Number Already Assigned to this Operation
ermit # 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)
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
Anticipated end use of incidental commoditie(s) to be mined: None
COLORADO
DIVISION OF
RECLAMATION
MINING
—&—
SAFETY
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.
1. Applicant/operator or company name (name to be used on permit): Harry Corkle Const
1.1 Type of organization (corporation, partnership, etc.): Individual
2. Operation name (pit, mine or site name): Corkle Construction Pit #2
3. Permitted acreage (new or existing site): 3 permitted acres
3.1 Change in acreage (4-) acres
3.2 Total Acreage in Permit Area 3.84 acres
4. Fees: - - _ _ _ - -- - -- — - -
4.1 New Application: $1,258.00 application fee
Amendment Fee (C.R.S. 34- 32.5- 125(1I)): $827.00 application fee
4.2 Conversion Fee (from 110d to 110 $2,696.00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie(s) to be mined: None Rec Only Permit
5.1 Incidental commoditie(s) to be mined: 1. / lbs/Tons /yr 2. / lbs/Tons /yr 3. / lbs/Tons/yr
4. / lbs/Tons /yr 5. / lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: None Rec only permit
Office of
Denver • Grand Junction • Durango Active and Inactive Mines