PERMFILE41586

• Permit No: M1980252
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT AND SPECIAL TEN DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~s: -r ~
~" .'~.
~ -~ L~TED IMPACT AND SPECIAL (TE<i-~)
PERI{IT APPLICATION FORM
STATE OF COLORADO
ui„'d Land Reclamation Soard
Department of Natural Resources
1313 Sherman Street, Room 723
Denver, Colorado 80203
III IIIIII III IIII III
sss
Application for Hieing
and Reclamation Permit,
Pursuant to C.B.S. 1973,
34-32-101, et seq.
LIZ~IITED I`fPACT OPERATIONS moat disturb LESS THAN ten acres (including all
roads, stockpile areas and any other surface facilities) over the life of
the mine, sad must extract LESS THA:i 70,000 tons of mineral, overburden
or combination thereof per calendar year. If the affected area is some
fraction greater than nine acres, be sure NOT co round it up to ten acres
in the narratives or elsewhere.
SPECLaI. (TEId-DAY PROCESSING) operations must disturS LcSS TEA.v ten
acres (including all roads, stockpile areas sad any other surface
facilities), anr' can ONLY be obtained where a federal, state, county,
city, town, or special district contract calls for work to be
commenced within a SP~C:FICALLY SHORT TL"fE. ,/
TYPE OR PRINT CLEARLY ~Li . ~~v
I. Name of operat~gns •,I//=f ~.,~.~.• ~r,~-i-
(Pit, mine, or site name)
2. Name of applicant/operator ~ '
.E_'.f~ Cll./,^c )'ir',(i r /~~.C!• ~
(Name to be used on permit)

3.
Address and phone number of ~ 1 ,
i_f G• bcx /5/7- / /~iiPf'ha4
~t«~ >' ~•"~/~~
local offices ^
4. Address sad phone number S~~/~,~
of general offices
5. Name and phone number of person ~ ~/,' L,C~iT1?6-
staff members should contact
6. Owner(s) of record of affected ~ fi1,[y C~rv.c;-4
Iand (surface area)
(If more than 2, list below)
7. Owner(s) of substance to be mined /~i4f.:e L~(u,CTy'
(If more than 2, list below)
8. Source of legal right to eater ~_ ~~G~
(Indicate what type of proof is
included in Exhibit G - lease, deed,
notarized letter, etc.)
9. Type of mine 6 substance to be mixed ~rf~G~~L _ /-ffEiJ~ f~T
(Specify underground, strip, oven pit,
etc. and substance(s) to be mined) ~
~'
0. General location b elevation ('files ~~/• ~~~ a ;' J6 ti/~~~1';ic n. F iL
~ direction from nearest town S
a
roximat
v
sit
l
ti
)
(J~t . ~d. ~ ~S
pp
e
e e
e
a
on
1. Countq I fib ,
2. Acreage of affected lands
(T
t
l
f
b ~ ;
'~ '~`"~S
o
a
sur
ace acreage to
e
included is permit)
3. Application fee (See applicable Rule
ca determine amount)