PERMFILE55162

• Permit No: M1997061
• IBM Index Class Name: Permit File
• Doc Date: 7/17/1997
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

iii ~iiiiii~nii~iii ~
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Depanment of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
RECEIVED ~ ~_
~~
JUL 17 1997 DEPARTMENT' OF
MATERIALS NATURAL
LIMITED IMPACT OPBRATION 6 of Minerals rx Geology RESOURCES
R8a'~*~TION PERMIT APPLICATION FORM RoyROmer
Governor
lames 5. Lochhead
Executne Director
Michael B. Long
Division Director
CAECR ONE: ~Mer Application (Rule 1.4) Aseadnent Application (C.R.S. 34-32.5-110)
Coaversioa Application (Rule 1.11)
Permit # ~-~Z- ~~-_ (provide for Aseadaeats and Conversions of
existing permits)
The application for a Construction Materials Limited Impact Mining (110) Operation Reclamation
Permit contains three major parts: (1) the application form; (2) Exhibits A-J and 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, and 6.5; and (3) the application fee. When you
submit your application, be sure to include one (1) complete sinned and notarized IVORY ORIGIN,AI.
and one (1) copy of the completed ivory application form, two (2) copies of Exhibits A-J and
Exhibit L, 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 1/2" 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.
______________________________________________________________:====z=====____ry°__~______________
GENERAL OPERATION INFORMATION M ~~ -1~13~
Type or print clearly, in the space provided, all information described below.
-------------------------
1. Applicann~o~erator or company name (name to be used on permit):
1.1 of organization (corporation, partnership, etc. /( f
1.2 I.R.S. Tax ID No, or Social Security Number: 9 R -- O 4 9 •~
2. operation name (pit, mine or site name): ~~~v.vX.•2-, ~( t

3. Permitted acreage (new or existing site): ~. ~'/ permitted acres
3.1 Change in acreage (+ or -) acres
Total Acreage in Permit Area q . acres

4. Fees•
4.1 New Application 875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(iI)) S575.00 application fee
4.2 110 SS 75.00 conver
Conversion Fee (from ilOd to sion fee (Rule 1.11.2(2))
5. Primary /n~
commoditie/s1 to be mined: ISYY\V~-)
5.1 Incidental commoditie(s) t0 be mined: 1. - lbs/Tons/vr
2. / lbs/Tons/vr 3. / lbs/Tons/vr
4. / lbs/Tons/vr 5. lbs Tons
5.2 Anticipated end use of primary commoditie(s) to be mined: '
5
3 Anticipated end use of incidental commoditie(s) to be mined:
.
.
' ..
2`k
x :; i~i...:~:."ran"'r"°' - `~z `:~_:::?` ~':'~''*c'3.'"f~~. - ~ i'-1"- k~ `
a
°--.......,.~..Je