1999-06-21_PERMIT FILE - M1999071 ‎(8)‎

• Permit No: M1999071
• IBM Index Class Name: Permit File
• Doc Date: 6/21/1999
• Doc Name: CONSTRUCTION MATERIALS LIMITED IMPACT 110 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~ ~ III IIIIIIIIIIIIIIII
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY I YS~
DcVartmcrn of Nawral Resources lJ
I}Il Sherman 5l., Room?I$ ~ ~~~ ,~l
Dcnvcr, Colorado 80?03 W
Phnnc:IJ03)866-3567
FAX. [phone]?-81 U6
CONSTRIICTION MA'IT+RTaTS
LII•ffTED IMPACT (110) OPERATION
RECLAMATION PERMIT APPLICATION FVRlS
J AF~Fi~F ~~~~
p~h. , UN 2 z 199 DEPARTMENT OF
SiOq~/Mir 9 Nt~TUR.t~_
reray ~ ~~~,,,yRES~ OURCES
Rov Romer
Governor
lames 5. Lochhead
Ene<u:ive Director
Michael B. Lang
CHECK ONE: _~ New Application (Rule 1.9) Conversion Application (Rule 1.11) Div ision Director
AmendmeMMnt Application (C.R.S. 39-32.5-110)
Permit # y.l~ -~-~-_ (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 L, 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)(6); and (3) the application fee. When you
submit your application, be sure to include one (1) complete signed 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 (9) below. Exhibits should NOT be
bound or in a 3-ring binder; maps should be folded to 8 1/2" X 11" or 8 I/2" X 19" size. To
expedite processing, please provide the information in the format and order described in this
form.
-----
GENERAL OPERATION INFORMATION
Type or print clearly, is the space provided, ALL information described below.
---------------------------------------------------- ----- --- --- '
1. Applicant/operator or comHanv name (name to be used on Hermit):
ptt)~yt Ro k Investments. LLC
1.1 Type of organization (corporation, partnership, etc.)Limited LIabilitV Corporation
1.2 I.R.S. Tax ID No. or Social Security Number;
Z. Operation name (Hit, mine or site name): "B"Street Pro~Ct_(~brth Pit
3. Permitted acreace (new or a:istino site):
3.1 Change in acreage (+)
Total Acreage in Permit Area
9
5
permitted acres
acres
acres
Fees•
9.1 New Application 875.00 application fee
Amendment Fee (C.R.S. 39-32.5-125(II)) 55 0 application fee
4.2 Conversion Fee (from 110d to 110 875.00 conversion fee (Rule 1.11.2(2))
Primary commoditie(s) _to be mined: Sand _ Gravel
5.1 Incidental commoditie(s) to be mined: 1.._(1_ - lbs/Tons/vr
2. / lbs/Tons/vr 3. / 1bs/Tons/vr
9. / lbs/Tons/vr 5. / 1bs/Tons/vr
5.2 Anticipated end use of primary commoditie(s) to be mined:
5.3 Anticipated end use of incidental commoditie(s) to be mined: CcriSt n~~tion A~q~aates