2017-05-17_PERMIT FILE - M2017019

• Permit No: M2017019
• IBM Index Class Name: Permit File
• Doc Date: 5/17/2017
• Doc Name: Application
• From: The Walsenburg Sand and Gravel Company
• To: DRMS
• Email Name: ECS
• Email Name: WHE
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAI`E17
Department of Natural Resources
1313 Sherman St, Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
ECS WHE
M-2017-019
STATE OF COLORADO
RECEIVED
MAY 16 2017
DMSION OF RECLAMATION
MINING AND SAFETY
CONSTRUCTION MATERIALS
SPECIAL (111) OPERATION
RECLAMATION PERMIT APPLICATION FORM
COLORADO
DIVISION OF
REC.AMATION
MINING
SAFETY
The application far a Construction Materials Special l 1 i Operation Reclamation Permit contains fourmajor parts: (1) the application form;
(2) Exhibits A -L. Addendum 1, and any sections of Exhibit 6.5 (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); (3) the application fee; (4) the Performance Warranty and if required a Financial Warranty. When
you submit your application, be sure to include one (1) com-ple td.-si ned and notarized ORIGINAL and one (1) copy ofthe completed
application form, two (2) copies of Exhibits A -L, Addendum 1, appropriate sections of Exhibit 6.5 (Geotechnical Stability Exhibit), as
required, a check for the application fee described under (4) below, and the fully executed Performance Warranty and Financial Warranty, if
required. Exhibits should NOT be bound or in 3 -ring binders; maps should be folded to 8 2" X 11" or 8 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 described below
1. Applicant/operator or company name (name to be used on the permit):
The Walsenburg Sand and Gravel Company.
1.1 Type of organization (corporation, partnership, etc.): Corporation
2. Operation name (pit pone or site name):WSG-Sand Arroyo Pit #2
3, Peonm
1^2.00 PermittedAcres
4. New Application: $998.00 Application Fee
5. Primary commodities) to be mined: Construction fill
6. Name of owner to the surfscef ct : Louis & EvelVn Vezzani
7. Name of owner ie Obe subsurWe rights of affected land: _ Louis & EvelynVezzani
8. Type of minima operation: O Surface Q Underground II In-situ
9_ Location Information: The center of the area where the majority of mining will occur:
Co Huerfano
PRINCIPAL MERIDIAN (check one): ✓ 1 6th (Colorado) 1 Oth (Mew Mexico) .II Ute
SECTION (write number): S 27 ✓
TOWNSHIP (write number and check direction): T 28 North South
RANGE (write number and check direction): R 67 East 60, West
QUARTER SECTION (check one):✓ NE NW SE SW
QUARTER/QUARTER SECTION (check one): NE ✓ NW SE SW
GENERAL DESCRIPTION: (the number of miles an rection from the nearest town and the approximate elevation) -
Offic
e of Office of .
Mined land Reclamation Denver - Grand Junction - Durango Active and Inactive Mines