2014-02-21_REVISION - M1990134

• Permit No: M1990134
• IBM Index Class Name: Revision
• Doc Date: 2/21/2014
• Doc Name: Amendment Request AM02
• From: James and Kathleen Ross
• To: DRMS
• Type & Sequence: AM2
• Email Name: SJM
• Email Name: GRM
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
tl+ �'l 0 --z'
STATE OF COLORADO
Department of Natural Resources
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
AAM ON JNINiW
or company name (name to be used on permit): James H Ross & Katthleen H Ross
1313 Sherman St, Room 215
NOLLVWd`1038 JO NOISI ild
COLORADO
Denver, Colorado 80203
2. Operation
D I V I 5 1 0 N o f
Phone: [phone]
RECLAMATION
FAX: [phone]
bt�
MINING
Change in acreage ( +)
2.64
acres
3.2
Total Acreage in Permit Area
SAFETY
acres
AL aQ °'���._
CONSTRUCII1
827.00
4.1
Bill Ritter, Jr.
$1,258.00
LIMITED IMPACT (110) OPERATION
Governor
Amendment Fee (C.R.S. 34- 32.5- 125(II)):
$827.00
Harris D. Sherman
4.2
RECLAMATION PERMIT APPLICATION FORM
Executive Director
Ronald W. Cattany
Division Director
CHECK ONE:
There is a File Number Already Assigned to this Operation
Natural Resource Trustee
Permit #
_
M 1990 -_ 134 _ (Please reference the file number currently assigned
to this operation)
New Application 1.4.5) Amendment Application
1.10)
(Rule
(Rule
Conversion Application (Rule 1.11)
Permit #
M _ 1990 _ 134 - (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 1/211 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.
5.
Primary commodities) to be mined: sand & gravel fill dirt
5.1 Incidental commoditie(s) to be mined: 1, 5000./ roes lbs/Tons/vr
4. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined:
Anticipated end use of incidental commoditie(s) to be mined:
Office of
Mined land Reclamation
2. 1000/ ° "s lbs/TOns /Vr 3. / lbs/Tons/vr
5. / lbs/Tons/vr
construction materials
construction materials
Denver • Grand Junction • Durango
Active an
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, ALL information described below.
1. Applicant/operator
or company name (name to be used on permit): James H Ross & Katthleen H Ross
1.1
Type of organization (corporation, partnership, etc.):
2. Operation
name (pit, mine or site name): Ross Pit
3. Permitted acreage (new or existing site): 6.84
permitted acres
3.1
Change in acreage ( +)
2.64
acres
3.2
Total Acreage in Permit Area
9.48
acres
4. Fees:
827.00
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 110d to 110 $2,696.00 conversion fee (Rule 1. 11.2(2))
5.
Primary commodities) to be mined: sand & gravel fill dirt
5.1 Incidental commoditie(s) to be mined: 1, 5000./ roes lbs/Tons/vr
4. / lbs/Tons/yr
5.2 Anticipated end use of primary commoditie(s) to be mined:
Anticipated end use of incidental commoditie(s) to be mined:
Office of
Mined land Reclamation
2. 1000/ ° "s lbs/TOns /Vr 3. / lbs/Tons/vr
5. / lbs/Tons/vr
construction materials
construction materials
Denver • Grand Junction • Durango
Active an