Laserfiche WebLink
<br /> <br /> <br />III IIIIIIIIIIIII III ~ O~ COLORADO ' <br />DIVISION OF h11NERALS AND GEOLOGY 999 ~PFC <br />Depanmrnt of Na Wral Fesources r~ L~~ <br />I) 13 Sherman St_ Foom ] I S ~. v(CA `~ <br />Dem-er, Colorado 80707 ~6~5, , ~ o l v I s I o N v <br />Phone. 13031 866-756- 'OOd ~ Q MINERAL ' <br />F.tx 13031 Bl'-8106 f~? ~QOO & <br />CONSTRUCTION MATERIALS Pld/,c G E O L O G 1 <br />dd RECLAMATIOM ~ <br />REGULAR(112)OPERATION aced/ MINING•SAFETY <br />RECLAMATION PERMIT APPLICATION FORM °9y <br />Bill Owens <br />Governor <br />Greg E. wale her <br />Erecuhve Dl,eaor <br />CIIECK ONE: There is a File Number Already Assigned to this Operation ~rcnael e. Long <br />Permit # M ~~~ o~~~:.on u~rec wr <br />(Please reference [he file number currently assigned to this operation) <br />X New Application (Rule 1.4.5) Amendment Application (Rule 1.10) <br />Conversion Application (Rule 1.1 1) <br />Petmit # M -_ _ _ (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major pars: (I) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geo[echnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure [o include one (l) complete siened and notarized IVORY ORIGINAL and four (4) copies of the <br />completed Ivy application form, five (5) copies of Exhibits A-S, Addendum I, appropriate sections of 6.5 (Geotechnical Stability Exhibit, <br />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 <br />be folded to 8 1/2" X 1 1" or 8 I/2" X 14" size. To expedite processing, please provide the information in the format and order described <br />in this form. <br />GENERAL OPERATION RsIFORMATION <br />Type or print clearly, ip the space provided, all information described below. <br />I. ApplicanUoperator or company name (name to be used on permi[I: 14u 11 e t t ' s Exc a V a t i ng , LLC <br />I.l Type of organization (corporation, partnership, etc.): Limited liability company <br />1.2 I.R.S. Taz I.D. No. or Social Security Number: <br />2. <br />3 <br />Operation name (pit. mine orsi[ename): Mullett's Excavating Pit #1 <br />Permitted acreaee (new or existine site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees <br />acres <br />4.1 New Application $2.344.00 application Fee <br />4.2 New Quarry Application $2,906.00 quarry application <br />4.4 Amendment Fee $1.938.00 amendment fee <br />4.5 Conversion to 112 operation (set b}' statute) $2 344.00 conversion fee <br />5. Pritnarv commoditie(sl to be mined: c 1 a s s # 6 road bas e <br />S.I Incidental commoditie(s) to be mined: 1. ! Ibs7Ponslvr 2. / lbs/I'ons/vr 3. / Ibs/fons/vr <br />4. / Ibs(I'onslvr 5. J Ibstions/vr <br />5.2 Anticipated end useo(primarycommoditie(s)tobemined: road maintenance <br />13 permitted acres <br />acres <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: <br />