2000-05-08_REVISION - M1999062

• Permit No: M1999062
• IBM Index Class Name: Revision
• Doc Date: 5/8/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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STATE OF COLOMDO _
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
Den,Sherman Si.do 0203oom 115 RECEIVED
Denser,Colorado 80?03 D I v 15 1 0 N O F
Phone:[phone] M I N E RA L S
FAX'.(3031 831-8106
MAY 0 8 2000 &
J�0 GEOLOGY
�\ RECLAMATION
nlvlslon of Minera►s&Geology M I N I N G-S A F E T Y
�lCj �QQO � CONSTRUCTION MATERIALS
`` � ep,' Rik ovens
N &O LIMITED IMPACT(I10)OPERATION Governor
\�S¢`.�S RECLAMATION PERMIT APPLICATION FORM Greg E.Watcher
Executive Oicenur
O
�GQ Michael B.Long
Division Director
CHECK ONE: New Application(Rule 1.4) Conversion Application(Rule 1.11)
Amendment Application(C.R.S.34-32.5-110)
Permit k M - -_(�p� (provide for Amendments and Conversions of existing permits)
The application for a Construction Materials Limited Impact(110)Operation Reclamation Permit contains three major parts: (1)the application form;
(2)Exhibits A-J,Exhibit 1.,Addendum 1,any sections of Exhibit 6.5 and Geotechnical Stability Exhibit,as required by the Office,and outlined in Rules
6.1, 6.2,6.3,6.5,and 1.6.2(1)(b); and(3)the application fee. When you submit your application, be sure to include one(1)complete sieved and
notarized IVORY ORIGINAL and one(1)copy of the completed Ivory application form,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 in a 3-ring binder,maps should be folded to 812"X 11"or 812"X 14"size. To expedite processing,please provide the information
in the format and order describediri this form.
GENERAL OPERATION INFORMATION
Type or print clearly,in the space provided, ALL information described below.
1. Applicant/operator or company name(name to be used on permitl: P`Z9
1.1 Type of organization(corporation,partnership,etc.): Si7/- - 4-;'iao&
1.21 I.R.S.Tax ID No.or Social Security Number: 5--4K5 - R— y 1 O 7
t (J
2. Operation name(pit,mine or site name): Zvi! L> k DI� 4 A'CR ! A "b A4 e- I� -Z
3. Permitted acreage(new or existing sitel: IiN969 permined acres
3.1 Change in acreage(+) OLII� acres
Total Acreage in Permit Area ej'4�acres
4. Fees:
4.1 New Application: _$875.00 application fee
Amendment Fee(C.R.S.34-32.5-125(11)): S575.00 application fee
4.2 Conversion Fee(from 11 Od to 110$875.00 conversion fee(Rule 1.1 1.2(2))
5. Primary commoditie(s)to be mined: S 'd �;7D�-�
5.1 Incidental commoditie(s)to be mined: 1. Ibs/Tons/yr 2. Ibs/Tons/vr 3. Ibs/Tons/vr
4. Ibs/Tons/vr 5. Ibs/Tons/vr 1
5.2 Anticipated end use of primary commoditie(s)to be mined: r.p 1/5/?d
5.3 Anticipated end use of incidental commoditie(s)to be mined: