2004-07-23_REVISION - M1994096 ‎(2)‎

• Permit No: M1994096
• IBM Index Class Name: Revision
• Doc Date: 7/23/2004
• Doc Name: First Submittal of Appl
• From: High Plains Sand and Gravel LLC
• To: DMG
• Type & Sequence: CN1
• Media Type: D
• Archive: No

DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
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STATE OF COLORADO
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CONSTRUCTION MATERIALS ~/ JUL 2 3 2004 MINERAL 5
REGULAR (112) OPERATION
RECLAMATION PERMIT APPLICATION FOIiMivision of Minerals & Geology
CHECK ONE: X There is a File Number Already Assigned to this Operation
EOLOGY
~LAMATION•MININO
SAFEtrKOENCE
Bill Owens
Governor
Greg E. Walther
Permit # M - 19 9 4 - 0 9 6 (Please reference the file number currently assigned to this operation) E><ecrnive Oireaor
/_ New Application (Rule 1.4.5) _ Amendment Application (Rule 1.10) Ronald w. catlany
v ~_ Conversion Application (Rule 1.11) ofvision oirector
Natural Resource Tmnee
Permit # M - 1 a o ,t _ n a ~-_ (provide for Amendments and Conversions of existing pemtits)
The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A-S, Addendum l ,any sections of Exhibit 6.5 (Geoteclutical Stability Exhibit; and (3) the application fee. When you submityour
application, be slue to include one (1) complete siffied and notarized IVORY ORIGINAL and one (1) copyofthe completed I~ application
form, two (2) copies ofExltibits A-S, Addendtnn 1, appropriate sections of 6.5 (Geotechnical Stability E~dribit, and a check for the application
fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder, maps should be folded to 81/2" X 11"or 81/2" X
14" size. To expedite processing, please provide the information in the format and order described in this form.
GENERAL OPERATION INFORMATION
Type or print ckady, in the space provided, ALL information requested below. /
I. AonGcanUooeratororrnmoanvoame(nametobeusedoncermiO:High Plains Sand And Gravel, LLC /
1.1 Type oforganuation (corporation,par[nership,etc.): Limited Liability Company
1.2 I.R.S. Tax I.D. No. or Social Sectniry Number: 4 8 -12 7 2 5 2 7
2. Operation name (nit. mine or site name):
RUSSELL GRAVEL PIT /
3. Permitted acresne (new or eldstinQ site): ti permitted acres
3.1 Change in acreage (+) 4 3 acres
3.2 Total acreage iit Permit area 4 9 acres
4. Fees:
4.1 New Application $2 344.00 application fee
4.2 New Quarry Application $2.906.00 quarry application
4.4 Amendment Fee $1.938.00 amendment fee
4.5 Conversion to 112 operation (set by statute) $2.344.00 conversion fee
5. Prim ary rnmmoditie(s) to be mined: Gravel
5.1 Incidental conunoditie(s) [o be mined: 1. n/a - Ibs/Tons/yr 2. / lbs/I'onshT
3. / Ibs/Tons/vr 4. / Ibs/I'onslyt 5. / Ibs(Ions/vr
5.2 Anticipated end use of primary commoditie(s) to be ruined: Road Bas e
5.3 Anticipated end use of incidental commoditie(s) to be mined: n /a
Office of Office of Colorado
Mined Land Reclamation AUive and Inactive Mines Geological Surve}