PERMFILE48224

• Permit No: M1980224
• IBM Index Class Name: Permit File
• Doc Date: 11/10/1980
• Doc Name: LIMITED IMPACT 110 AND SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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_.~
~~pat:~ment 8f.:., . . ,. '.94'a!!E198
`~ LANb Rai; >7i<QAl~$
;' ;}:~13 SherBmst , Aebm 123
I?~ . •ttenuer, CO 8b'~4~ (~hQ3) 838-3567
i'. ». MINF
~ Calo.
~ The following explanations cover ]
~- gay Psacessing)(lll's) applicarioi
~'. cheek the appsopriate box to indi,
here. 111 pesmd.ts may be issued i
eligible.
' ~ L41ITEi} EdPACT OPERATIONS mu:
roads, stockpile areas and at
the mine, at:d must extract LS
combiaatiau thereof per calet
' greater than nitre acres, be
the narratives or elsewhere.
SPECIAL f'TEN-DAY PROCESSING)
(including all roads, stockp
sad can ~ be obtained wire
special district eoatraet ca
SHORT T~tE.
Name of operation.
(Pit, mine or sate name}
os Print Cleaziy) n,7 ~
r
~.
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x.. 2.
6:
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5.
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6.
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4:
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10. General locatiorti & elevation
(*f31es & direction fzam nearest
town & approximate site elevation? _ ah,n,,, e.. i e~rmr _
Il. Coatrty
12. Acreage of affected lands
~. (Total surface acseage to be
~, included is permit) .
13. Aoplicatiaa fee (See applicable I , ~ ^
RULE to detexsaine amount)
14. Present land use (i.e., agri- A riculture
cultural, industrial, etc.)
15. Proposed
~; of
Name of applicant/operator
(Name to be used on permit)
Address and phone number of
local offices
Address and phone number of
genesal`offiees
Name and phone somber of person
staff members Should contact
Osmer(s) of record of affected end Fremont
(surface areaXI£ more than 2, list below)
Owner(s) of substance to be mined
(If more than 2, list below)
It~ACT (11°) and i~~ s% 111111111!111111!11 ;
EC3-bAY (lIl BERI'fLT
' Application ~r~~$ ~`". "` 'f
Ret:lamation Permi~, pursuant
NUV 1 Q 1980 tof~C^RS 1973, 34-32-101, et seq
LANiIRECLAMAIION~ fll~ ~n. ~~'-aa~ i
sited Impact applioatiens (110's) and Special (Ten-
In the idterests of effic:F.ent processing, please
to which type of application you are applying fax
by ender special circumstances. Be sure you are
disturb LESS THAN ten acres (including all
other surface facilities) over the life of
;THAN 70,000 tons of mineral, overburden or
.r year. If the affected area is some fraction
e NOT to. round this figure oat to ten act*es in
erations must disturb LESS•THAN ten acres
areas aad;aay other surface facilities).,
a Federal, state, county, city, town or
for work to be commenced within a SPECIFICALLY
President
Inc .
Inc
Source of legal right to enter
(Indicate what type of proof is Not app! i
included in EX$IBIT G -lease,
deed, notarized letter, etc.)
Type of mine & substance to be
rained (Specify anderground, strip,
open pit, etc. & substance(s) to
be mined)
use
- .,~