PERMFILE57762

• Permit No: M2001060
• IBM Index Class Name: Permit File
• Doc Date: 6/26/2001
• Doc Name: PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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RADO
DIVISION OF MINERALS AND GEOLOGY
Depanmem of Natural Resources JUN ~ (} 0001
1 31 J Sherman St., Room ? I S
Denver, Colorado 80203
Phone:[phone] Division of Minerals and Geolo
9y
FAX: [phone] CONSTRUCTION MATERIALS
LIMITED IMPACT (110) OPERATION 117~6~F„ r~ !/ E®
RECLAMATION PERMIT APPLICATION FORM JUN 18 2001
~~
DIVISION OF
MINERALS
GEOLOGY
0.EC lA RATION
MI NING•SAFETY
B~II Owens
Governor
Oiviaion of Miaerela and Geabpy Greg E. Walther
CHECK ONE: _~ There is a File Number Already Aaaigned to thin Openfioo Executive Director
Petmit # M -lt~l -oleo _ lease reference the file number torten assi ed to this o erasion Michael B. long
- (P ily (">o P ) Owision Director
,New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10)
_ Conversion Application (Rule 1. l l)
Permit # M - ` _ (provide for Amendme¢ta aad Conveniona of existing permits)
The application for a Constrttction Materials Limited Impact (110) Operation Reclamation Permit contains throe major pans: (I) the
application form; (2) Exhibits A-J, Exhtbit L, Addendum 1, any sections of Exhibit 6.5 and Geotechnical Stabilty Exhtbit, ss required by the
Office, and omlined m Rules 6.1, 6.2, 6.3, 6.5, and 1.6.2(1)(b); and (3) the application fee. Rrhen yo¢ submit yotQ application, be sure to
inclpde one (i) complete sued and notar¢ed IVORY ORIGINAL sod one (1) copy of the rbttlpkted Ivot~ apphation form, two (2) copies
of Exhibits A-J, Exhibit L, Addend¢m 1, and appropriate sections of 6.5 (Geotechnical Stability Exhibit), as required, and a check for the
application fee described ¢nder (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 8 If2" X 1 l" or
8 IR" X 14" size. To expedite processing, please provide the information in the format end order described in this form.
GENERAL OPERATION INFORMATION
Type or punt clearly, in the apace provided, ALL information deactibed bebw.
Aaolicaotlocerator or comoanv name (name to be uaed oo ttermitl:
I.I Type of organization (corporation,pazmership,etc.): Sole Proprietorship
l.2 I.RS. Tax ID No. or Social Scenrity Number: 2.:
2. Operation name (nit. mine or aite camel: neakins Pit
3. Permitted acrea¢e (¢ew or evstin¢ aitel: 9.99 permitted acres
3. l Change in acreage (+) 0 acres
Total Acreage m Permit Area 4.9 4 acres
4. Fees:
4.1 New Application: 1 094.00 application fee
Amendment Fce (C.R.S. 34-32.5-125(lI)): E7I9.00 application fee
4.2 Conversion Fee (fiom 1lOd to 110 875.00 conversion fee (Rule 1.11.2(2))
~. Primary rnmmoditie(al to be mined: Qravel sand
5.1 Incidental commadite(s) to be miaed: 1. / Ibs/IonsWr 2. / Ibslions/vr 3. / lbs~l'ons_y( r
4. / Ibs/fons/vr 5. / Ibs/fonshr
5.2 Anticipatedend¢seofprimarycommoditie(s)tobemined: roads, construction
iii iiiiiiiiniii iii
Anticipated end use of incidental commoditie(s) to be mined: