2011-12-09_PERMIT FILE - M2011039

• Permit No: M2011039
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/9/2011
• Doc Name: New 110c Application
• From: Colorado Moss Rock, Inc.
• To: DRMS
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
CHECK ONE:
Permit #
STATE OF COLORADO
RECEIVED
1iC 092011
4 Division of Reclamation,
CONSTRUCTION MATERIALS Mining & Safety
LIMITED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FORM
There is a File Number Already Assigned to this Operation
M 2011 _039 _ _ (Please reference the umber currently assigned to this operation)
New Application (Rule 1.4.5) Amendment Application (Rule 1.10)
Conversion Application (Rule 1.11)
Permit # f/CI _ 2011 039 _ (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.
Mined Land Reclamation
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
COLORADO
DIVISION OP N
REC
MINING
SAFETY
Bill Rimer, Jr.
Govemor
Harris D. Sherman
Executive Director
Ronald W. Cattany
Division Director
Natural Resource Trustee
1. Applicant/operator or company name (name to be used on permit): COLORADO MOSS ROCK, INC.
1.1 Type of organization (corporation, partnership, etc.): COLORADO CORPORATION
2. Operation name (pit, mine or site name): COLORADO MOSS ROCK
3. Permitted acreage (new or existing site): 9 . 9 permitted acres
3.1 Change in acreage ( +) 0.0 acres
3.2 Total Acreage in Permit Area 9 .9 acres
4. Fees:
4.1 New Application:
Amendment Fee (C.R.S. 34- 32.5- 125(II)):
4.2 Conversion Fee (from 110d to 110 $2,696.00 conversion fee (Rule 1.11.2(2))
$1.258.00 application fee
$827.00 application fee
5. Primary commoditie(s) to be mined: LLANDSCAPE STONE DECORATIVE ROCK
5.1 Incidental commoditie(s) to be mined: 1. N / A lbs/Tons/vr 2. N / A lbs/Tons/vr 3. N / A lbs/Tons /vr
4. N / A lbs/Tons/vr 5. N / A lbs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined: LANDSCAPING STONE & DECORATIVE APPLICATIONS
Anticipated end use of incidental commoditie(s) to be mined: N/A
Office of Office of
Denver • Grand Junction • Durango Active and Inactive Mines