2000-03-13_PERMIT FILE - M2000040

• Permit No: M2000040
• IBM Index Class Name: Permit File
• Doc Date: 3/13/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGA'
Uepanmem ni Nawral Rexiurce~
13 7 3 Sherman 51.. Room ? 15
Denser, Colorado 80203
Phone: UU31 866-3567
f AC ~ 1303) 832-8106
a /~N
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OF ~OLORA~O
~~CENECJ
MAR 2 8 2000
,,.... ~ or MirRral~ & Geelot}y
CONSTRUCTION MATERIALS
RECi~~~ED
MAR ~ ~ Z~Q
DIVISION OE
MINERALS
6c
GEOLOGY
RECLAMATION'
MINING•SAF ETY
~/~u~,~ Bill Owens
LIMITED IMPACT (110) OPERAYImT9r~ -r rrr,r~rdb ~ Garernur
GeQ Greg E. Walther
RECLAMATION PERMIT APPLICATION FORM ~/ Eaecuuve Dvectur
Michael B. Long
Drvrsion Director
CHECK ONE: ,~_ New Application (Rule 1.4) Conversion Application (Rule 1.11)
A^m~en`d~menyt~Application (C.R.S. 34-32.5-110)
Permit # MU' UW!~ ~ (provide for Amendments and Conversions of existing permits)
The application for a CotLSwction Materials Limited Impact (110) Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A-],Exhibit L, Addrndum ],any sections of Exhibit 6.5 and Geotechnical Stability Exhibit, as required by the Office, and outlined in Rules
6.1, 6.2, ti.3, 6.5, and l.ti.2(1)(b); and (3) the application fee. When you submit your application, be sure to include one (1) complete sieved and
notarized IVORY ORIGPIAL and one (])copy of the completed lvorv application form, two (2) copies of Exhibiu A-J, Exhibit L, Addendum 1, and
appropriate sections of ti.5 (Geotechnical Stability Exhibit), as required, and a check for the application fee described under (4) below. Exhibits should
be bound or in a 3-ring binder, maps should be folded to 8 IR" 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 priol clearly, in the space provided, ALL information described below.
1. Aoolicaatlooeralor or comoaov name (name to be used on nermitl: M t'_t~ i r i n e Art ~t - ROtJ 4~l~ N ati nn n I Fore s >t
L1 Type oforgannation (corporation,parmership,etcJ: F cjeral Ao nry r l~.S.D.A_ Forec~ Srrvtce
1.2 I.R.S. Tax ID No. or Social Security Number: N ~/~
2. Operation name (nit. mine or site name): Sao Ee Line Rn n eh Pi t
3. Permitted tcres¢e tnew or existioe site): _~~i-iie~ acct9
3.1 Change in acreage (+) acres
Total Acreage in Permit Area acres
4. Fees:
4.1 New Application: $875.00 application fee
Amendment Fee (C.R.S. 34-32.S-125(1))): $575.00 application fee
4.2 Conversion Fee (from I 1 Od to 110 875.00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie(s) to be mined: P I t Rt>_1l r .Date
5.1 Incidental commoditie(s) to be mined: I. / Ibs~fons/yr 2. / Ibsffons/vr 3. / Ibs/fons/vr
4. / Ibs/fons/vr 5. / Ibsll'ons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined:
5.3 Anticipated end use of incidental commoditie(s) to be mined: 4 q, OOd U.I bi G V[arr>IS