Laserfiche WebLink
DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 8663567 <br />FAX: (303) 832 -8106 <br />STATE OF COLORADO <br />LLNllTED IMPACT OPERATION (110(iiyl.% 1 Z ?o,3 <br />RECLAMATION PERMI0IV /81(,, aF 1V <br />pS A APPLICATION FORM 44ININGAAT ON <br />CHECK ONE: Fv/� New Application (Rule 1.4) F-1 Conversion Application (Rule 1.11) <br />Permit # M -Z t7% OY-0- (provide for conversions of existing permits) <br />COLORADO <br />D I V I S I O N OF <br />RECLAMATION <br />MINING <br />SAFETY <br />The application for a Limited Impact Designated Mining Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A -J, any required sections of Exhibit S and Geotechnical Stability Exhibit, as required by the Office, and outlined in <br />Rules 6.1, 6.2, 6.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your application, be sure to include one (1) sioxied an <br />notarized original and one (1) copy of the application form, two (2) copies of Exhibits A -J, appropriate sections of 6.4.19 Exhibit S and 6.5 <br />(Geotechnical Stability Exhibit), as required, and a check for the application fee described under (4) below. Exhibits should not be bound <br />or in a 3 -ring binder; maps should be folded to 8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information <br />in the format and order described in this form. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, all information described below <br />1. Applicant/oaerator or company name (name to be used on the permit): - tGP'ta.YA Frethe -4 <br />1.1 Type of organization (corporation, partnership, etc.): <br />2. Operation name (pit, mine or site name): 6oJ sey%A C ko i-y ► - CMC Z5 Z X2(0 <br />3. Permitted acreage (new or existing site): 9.9 permitted acres <br />4. Fees: <br />4.1 New Application $1,006.00 application fee <br />4.2 Amendment Application (from 1.10(2)) <br />4.3 Conversion Fee (from 110d to 110(2), (Rule 1. 11.2(2)) $1.725.00 conversion fee <br />5. Primary commoditie(s) to be mined: M l %aya l "s <br />6. Name of owner to the surface of affected land: U. 5. ro-re sttt S e N-y t Ce <br />7. Name of owner to the subsurface rights of affected land: _R 1 Ch0.'►r et FMB" i-e-1 -A <br />8. Type of mining operation: X Surface E] Underground 0 In -situ <br />Office of Office of <br />Mined land Reclamation Denver • Grand junction • Durango Active and Inactive Mines <br />