PERMFILE52618

• Permit No: M1999060
• IBM Index Class Name: Permit File
• Doc Date: 5/21/1999
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGIY
Uepanmem of Natural ReSOUrce`s'C
1713 Sherman 5L, Rno~ ~~ ~ N r D
Denier, Culorado 80?03
FAXn 1303018i86810~A,~ 21 1999
pivi1a~'o1n'~1o(Minetais & ~eob9Y
•
OF COLORADO
~~~~~
CONSTRUCTION MATERIALS v
LIMITED IMPACT (110) OPERATION
~~g
RECLAMATION PERMIT APPLICATION FORM
lo~
DIVISION O F
MINERALS
GEOLOGY
RECLAMATION
MINING•sAFETY
Bill Owens
Governor
Greg E. Walther
Eaecuuve Dneaor
Michael B. long
Division Drreclor
CHECK ONE: ~ New Application (Rule l.4)
Conversion Application (Rule 1.1 ] )
Amendment Application (C.R.S. 34-32.5-110)
Permit # M ~D~ (provide for Amendments and Conversions of existing permiu)
The application for a Construction Materials Limited Impact (110) Operation Reclamation Permit contains three major earls: (])the application form;
(2) Exhibits A-J, Exhibd L, Addendum 1, arty sections of Exhibh 6.5 and Geotechniral Stability Exhibit, as required by the Office, and outlined in Rules
6.1, 62, 6.3, 6.5, and 1.6.2(lxb); and {3) the application fce. When you submit your application, be sure to include one (1) complete sieved and
motariicd IVORY ORIGIIVAL and one (I) copy of the completed vo application forth, 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 N a 3-ring border, maps should be folded to 8 lR" X 11" or 8 IR" X 14" size. To expedite processing, please provide the information
in the format and order described in this forth.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, AL/L informatilon~ described below/. _,t.
1. AnnlicanUooerator or comoaov Dame (name to be used oo cermitl: ~ GS ~/~ ~•mGS ` 0U~ /rY
1.1 Type of organization (corporation, parmership, etc.): ~O ~n ~~. GO v~~n m~n~
I.2 I.R.S. Tax ID No. or Social Security Number: P y - e5 00 ~ - 78 O
2. Operation name (nit, mine or site name): O C /)')
3. Permitted acrcaee (new or existine site):
3.1 Change in acreage (+)
Total Acreage in Permit Area
P,
4. Fees:
4.1 New A lication:
Amendment Fee (C.R.S. 34-32.5-125(11)):
4.2 Conversion Fee (from 1 IOd to 110 875.00 conversion fee (Rule I.1 1.2(2))
5. Primary commoditie(s) to be mined: ~~A~ c
~• ~~ permitted acres
acres
9. C/~ acres
X875.00 application fe
575.00 application fee
S.l Incidental commoditie(s) to be mined: S. ! fbs(f ons/vr 2. / lbs/Fons/vr 3. / 1hsRons/vr
4. / Ibs/Tons/vr 5. / Ibs/fons/vr
5? Anticipated end use of primary commoditie(s) to be mined: /1oOg ~ ~Q infCn4 ~7C G '~
r-
5.3 Anticipated end use of incidental commoditie(s) to be mined: