Laserfiche WebLink
STATE OF COLORADO <br /> DMSION OF RECLAMATION,MINING AND SAFETY <br /> Departrnent of Natural Resources <br /> 1313 Sherman St,Room 215 �������� <br /> Denver,Colorado 80203 C O L O R A D O <br /> D 1 V 1 S[O N O F <br /> Phone:(303)866-3567 I�AR 2 3 2022 ���A�IQN <br /> FAX:(303)832�106 M I N[NG <br /> —�t— <br /> DIVISION OF RECLAMATION SAFETY <br /> MIIVINGAND SAFETY <br /> CONSTRUCTION MATERIALS <br /> REGULAR(112)OPERATION <br /> RECLAMATION PERMIT APPLICATION FORM <br /> CHECK ONE:� There is a File Number Already Assigned to this Operation <br /> Permit# M -��-�_-��'(Please reference the file number currently assigned to tlus operation) <br /> New Application(Rule 1.4.5) �Amendment Application(Rule 1.10) <br /> Conversion Appiication(Rule 1.11) <br /> Permit# M -��-�-���(provide for Amendments and Conversions of existing permits) <br /> The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts:(1)the application <br /> form;(2)Eachibits A-S,Addendum 1,any secrions of Exhibit 6.5(Geotechnical Stability E�chibit;and(3)the application fee. When you <br /> submit your application, be swe to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br /> application form,two(2)copies of E�chibits A-S,Addendum 1,appropriate sections of 6.5(Geotechnical Stability E�chibit,and a check for <br /> the application fee described under Section(4)below. E�chibits should NOT be bound or in a 3-ring binder;maps should be folded to <br /> 8 1/2"X 11"or 8 1/2"X 14"size. To expedite processing,please provide the information in the format and order desc�bed in this form. <br /> GENERAL OPERATION INFORMATION <br /> Type or print clearly,in the space provided,ALL information requested below. <br /> ""� l�l�v` �@..�, ;-Y\ ,���M C�1 e� <br /> 1. Aaalicant/oaerator or comuranv name(name to be used on aermit):� 1'1 "_ �Imo V'1 c� -_'���YZ� �� r <br /> 1.1 Type of organization(corporation,partrierslup,etc.): �r��if'���4fi � V �'�.-1i\ �tt irv'1t��c� .�v�L. ) <br /> 2. Oaeration name(ui�mine or site name): y�(Q � ,�� r�� J�b r`�e- ���T <br /> � <br /> 3. Permitted acreaee(new or e�stin�site): permitted acres <br /> 3.1 Change in acreage(+) � acres <br /> 3.2 Total acreage in Permit area � acres <br /> 4. Fees: <br /> 4.1 New Applicarion $2,696.00 application fee <br /> 4.2 New Quarry Application $3,342.00 quarry applicarion <br /> 4.4 Amendment Fee $2,229.00 amendment fee -- <br /> 4.5 Conversion to 112 operation(set by statute) $2.696.00 conversion fee <br /> 5. Primary commoditie(s)to be mined: v R-���i L— <br /> 5.1 Incidental commoditie(s)to be mined: 1. - lbs/Tons/vr 2. / lbs/Tons/vr <br /> 3. / lbs/Tons/vr 4. / lbs/Tons/vr 5. / lbs/Tons/vr <br /> 5.2 Anticipated end use of primary commoditie(s)to be mined: <br /> 5.3 Anticipated end use of incidental commoditie(s)to be mined: ����i �Q��(�„�,S ld k ''Z Q��� <br /> ����� <br />