2012-03-21_REVISION - M2001106

• Permit No: M2001106
• IBM Index Class Name: REVISION
• Doc Date: 3/21/2012
• Doc Name: 112 PERMIT APPLICATION FORM
• From: HUERFANO COUNTY
• To: DRMS
• Type & Sequence: CN1
• Email Name: TC1
• Media Type: D
• Archive: No

DIVISION OF RECIAMAT(ON, MINING AND SAFETY
Department d Natural Remoras
1313 Sherman St, Room 215
Denver, Colorado 80203
Phone: [phone]
FAX [phone]
Permit # M - 2001
3. Permitted acreage (new or ezlstine site):
3.1 Change in acreage ( +)
3.2 Total acreage in Permit area
4. Fees:
4.1 New Application
4.2 New Quarry Application
4.4 Amendment Fee
4.5 Conversion to 112 operation (set by statute)
5. Primary eonrmodltie(sl to be mined; SAN D
CONSTRUCTION MATERIALS
REGULAR (112) OPERATION
RECLAMATION PERMIT APPLICATION FORM
STATE OF COLD DO
8111 Ritter, Ir.
Governor
2 00 108 Harris O. Sherman
P M - (Please reference the file number currently assigned to this operatio *jecuove Pim:1m
New Application (Rule 1.4.5) _El Amendment Application (Rule 1.10) Ronald W. C.e0an'
Division Director
Conversion Application (Rule 1.11) ref Resource Trustee
CHECK ONE t`l 'There is a File Number Already Assigned to this Operation
2. Operation name (plt, mine or site name ORLANDO PIT
(provide for Amendments and Conversions of existing permits)
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, @I information requested helow.
9.96
26.50
36.46
COLORADO
D t V t$ l 0 N o r
RECLAMATION
MINING
SAF TY
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application
form; (2) Exhibits A -S, Addendum 1, any sections of Exhibit 6.5 ( Geotechnical Stability Exhibit; and (3) the application rec. When you
submit your application, be sure to include one (1) complete sinned and notarized ORIGINAL, and one (1) copy of the completed
application form, two (2) copies of Exhibits A -S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for
the application fee described under Section (4) below. Exhibits should EM 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/operatoror company name (name to be used on permitl: HUERFANO COUNTY GOVERNMENT
1.1 Type of organization (corporation, partnership, etc.): COLORADO COUNTY
permitted acres
acres
acres
$2.696.00 application fee
$3.342.00 quarry application
2 x2 9.00 amendment fee
$ 2,696.01) , conversion
GRAVEL ROAD BASE BORROW
5.1 Incidental commodities) to be mined: 1. 0 - IbsfTons/vr 2. 0 / IbsrTons/vr
3. / lbs/T'ons/vr 4.0 / lbslfons/vr 5. / Ibs/Tons/vr
5,2 Anticipated end use of primary commodities) to be mined: USE ON HUERFANO COUNTY PROJECTS
5.3 Anticipated end use of incidental commodities) to be mined:N /A
Mee of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines