2012-09-07_PERMIT FILE - M2012018 (2)

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STATE OF COLORADO DIVISION OF RECLAMATION, MINING AND SAl Eli'; I r •,} r Department of Natural Resources 0Q, 15\ \`k 1313 Sherman SL, Room 215 Denver, Colorado 80203 CONSTRUCTION MATERIALS Phase: (303) 866 -3567 FAX: (303) 832 -8106 REGULAR (112) OPERATION R EEC E I VE W D El RECLAMATION PERMIT APPLICATION FORM 0 2012 0 COLORADO DIVISION OF RECLAMATION MINING —&L— SAFETY Bill Ritter, Jr. Division of Reclamation, Governor CHECK ON There is a File Number Already Assivo this Operation Mining & Safety Harris D. Shaman t # M 1rz�- L' U (Please reference the file number currently assigned to this operatio4ecutive Director 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) Ronald W. Cattany Division Director Natural Resource Trustee 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 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 -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 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 requested below. C 1. Appficant/operator or company name ulzmv .., max,. �•� �� --- 1.1 Type of organization (corporation, partnership, etc.): 2. Operation name (pit, mine or site name): 3. Permitted acreage new or existing site): 3.1 Change in acreage ( +) 3.2 Total acreage in Permit area permitted acres acres ac of s' 4. Fees: $2,696.00 application fee 4.1 New Application $3,342.00 quarry application 4.2 New Quarry Application $2,229.00 amendment fee 4.4 4.5 Amendment Fee Conversion to 112 operation (set by statute) $2,696.00 conversion fee / be 5 /– S ' P v e 5. Prima commodid s to mined: 5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr 2. / lbs/Tons/Yr 3. / lbs/Tons/vr 4. / lbs/Ions/Yr 5. / lbs/Ions/Yr 5.2 Anticipated end use of primary commodities) to be mined: 5.3 Anticipated end use of incidental commoditie(s) to be mined: Office of office of Denver • Grand Junction • Durango Active and Inactive Mines Mined Land Reclamation