PERMFILE102887

• Permit No: M2000084
• IBM Index Class Name: Permit File
• Doc Date: 6/28/2000
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

DIVISION OF MINERALS AND GEOIOGM
Uepanmem of Nawral Resources
131 3 Sherman SL. Rnom Z1 5
Dern~er. Colorado 80203
Phone. [phone]
FAX: [phone]
• ~5•~
OF COLORADO 9a 7
aECEIVED
Jl1N ~ ~? 2000
Division of Minerals & Geology
CONSTRUCTION MATERIALS
LIMITED IMPACT (110) OPERATION
DIVISION OF
MINERALS
GEOLOGY
RECLA [1 ATION
MI NING•SAEETY
Bil I Owens
Governor
Gre6 E Watcher
RECLAMATION PERMIT APPLICATION FORM Evecuuve Drrenor
Michael B. Long
Division Drreclor
CHECK ONE: ~,_ New Application (Rule 1.4) Conversion Application (Rule 1.1 ] )
Amendment Appl'ic'ation (C.R.S. 34-32.5-110)
Permit # M ~~~~~ (provide for Amendments and Conversions of existing permits)
The application for a Cottswction Materials Luniud Impact (110) Operation Reclamation Permit contains three major parts: (1) the application form;
(2) Exhibits A-J, Exhibit L, Addendum 1, atry 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 l.ti.2(1)(b); and (3) the application fee. When you submit your application, be sure to include one (I) complete signed and
notarized IVORY ORIGQVAL and one (I) copy of the completed vo application form, two (2) copies of Exhibits A-], Exhibit L, Addendum I, and
appropriau sections of6.5 (Geotechnical Stability Exhibit), as requ'ved, and a check for the application fee described under (4) below. Exhibits should
NOT be bound or in a 3-ring binder, maps shoud be folded to 8 12" X 11" or 8 12" 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 clearly, in the space provided, ALL information described below.
Amolicaot/open[ororcomQamvnamefnametobeusedomoermitl: Washington County- Dist 2
l .l Type of organization (corporation, parptership, etc.):
1.2 I.R.S. Tax ID No. or Social Security Number:
Operationname(oit.mineorsitenamel: Chris Aaeqeson Pit #2
3. Permitted acreaee (new or existine site]: 9 - 9 permitted acres
3.1 Change in acreage (+) acres
Total Acreage in Permit Area ~ 9 - 9 acres
4. Fees: ,/~ 8r)~,DO
4.1 New Application: - application fee
Amendment fee (C.R.S. 34-32.5-125(11)): application fee
4.2 Conversion Fee (from I I Od to 110 575.00 conversion fee (Rule I.l 1.2(2))
5. Primary commoditiefsl to be mined: gravel
5.1 Incidental commoditie(s) to be mined: 1. / Ibs~I'ons/vr 2. / Ibs/fons/vr 3. / Ibslfons/vr
4. / Ibslfons/vr 5. / Ibs/fons/yr
5.2 Anticipated end use o(primary commoditie(s) to be mined: load cover
5.3 Anticipated end use of incidental commoditie(s) to be mined: