PERMFILE62175

• Permit No: M2000053
• IBM Index Class Name: Permit File
• Doc Date: 4/21/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Depanment of Natural Resources
1313 Sherman St., Room 215
Denier, Colorado 80203
Phone: [phone]
FAX: [phone]
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999
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A?.2 21 2000
Division of fviinerdl; ~ Geo!o~;-
CONSTRQCTIOA iWTSRIALS
LLSITBD I?@ACT OPERATION (110 )
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DEPARTMENT' OF
NATURAL
RESOURCES
RECLAWLTION PSRltIT APPLICATION FORK Roy Romer
Governor
lames 5. Lochhead
Ezecurive Din:ttb
Michael B. Long
Division Director
CFIECR ONE: ~~ New Application (Rule 1.4) >,~o~ad^t Application (C.R.S. 34-32.5-110)
Conversion Application (Rule 1.11)
Permit # - -_ (provide for Ameadaents 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 is 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)~comolete sioned and notarized IVORY ORIGINAi.
and one (1) copy of the completed ivor 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" K il" or 8 1/2^ K 14• size. To expedite processing,
please provide the information in the format and order described is this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, all information described below.
1.
1.1 Type of organization (corporation, partnership,taetc.) : ~o ~r~nin[•.~f
1.2 I.R.S. Tax ID No. or Social Security Number:
2. operation name (pit, mine or site name):
3. Permitted acreage (new or existing site):
3.1 Change in acreage (+ or -)
Total Acreage in Permit Area
GS7~i /gyp ~i~p7L
9. / ~ permitted acres
acres
acres
4. Fees•
4.1 New Application 5875.00 application fee
Amendment Fee (C.R.S. 34-32.5-125(II)) 5575.00 ~ application fee
4.2 10 875 5.00 conversion fee (Rule
Conversion Fee (from 110d to
1 1.11.2(2))
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5. Primary r
commoditie(s) to be m
ned:
V P
5.1 Incidental commoditie(s) to be mined: 1. - lbs/Tons/vr
2. / lbs/Tons/vr 3. ! lbs/Tons/vr
4. / lbs/Tons/vr 5. lbs Tons r
5.2 Anticipated end use of primary commoditie(s) to be mined: 00 1n Pn4n!
5.3 Anticipated end use of incidental commoditie(s) to be mined: