PERMFILE49932

• Permit No: M1978102
• IBM Index Class Name: Permit File
• Doc Date: 3/29/1978
• Doc Name: LIMITED IMPACT AND SPECIAL 10 DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

L TED IMPACT AND SPECIAL (TEN- ) sas IIII
~` ~ ~ • ~. iii iiiriiiiiiii
~ PERMIT LIGATION FORM
c~'at. %'. g ._.~
STATE OF COLORADO "°' Application for Mining
t•fined Land Reclamation Board and Reclamation Permit,
Department of Natural Resources (',BAR ~~~ 1975 Pursuant to C.R.S. 1973,
1313 Sherman Street, Room 723 34-32-101, et seq.
Denver, Colorado 80203 6di?t~`? ! ,' ~;~~ :;~C~ n,;:~;;;T~OPJ
LII3ITED L~IPACT OPERATIONS must disturb L`E5S`'1~PfAN ten acres (including all
roads, stockpile areas and any other surface facilities) over the life of
the mine, and must extract LESS THAN 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•to rouad it up to ten acres
in the narratives or elsewhere.
SPECIAL (TEN-DAY.PRDCESSING) operations must disturb LESS THAN ten
acres (including all roads, stockpile areas and 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 SPECIFICALLY SHORT TIME.
TYPE OR PRINT CLEARLY 7l- 7~ "" ~C1 oZ,
1. Name of operations i~}pp9 pit _
(Pit, mine, or site name)
2. Name of applicant/operator ~~,,~
I
(Name [o be used on permit)
State of Colorado

3.
Address and phone number of i d~_
c-~• #IIIi41
local offices Ph. 353-1232
4. Address and phone number 4340 E. Louisiana, Denver, Colo.
of general offices
Ph. 757-9224
S. Name and phone number of person ~ Ken Geisert
staff members should contact ~ ph 757-9224

6. i
Owner(s) of record of affected
Lvnn E ~ Norma D ShipRG
I
land (surface area)
(If more than 2, list below)
7. Owner(s) of substance to be mined Lynn E. do Norma D. Shipps
(If more than 2, list below)
8. Source of legal right to enter Option to Buy Material
(Indicate what type of proof is
included in Exhibit G - lease, deed,
notarized letter, etc.)
9 e 6 substance to be mined
i
f Strip
, m
n
Type o
(Specify underground, strip, open pit, ~d awd Gravel
etc. and substance(s) to be mined)
('files
ti
l
i
~ I ~roximate2Y 2.5 miles east of idnnn
.0. e
eva
on
on
General locat
b direction From nearest town 5 5150 feet
approximate site elevation) 1
L1. County I Weld
.2. Acreage of affected lands ~ 9,4 acres
(Total surface acreage to be
included in permit)
I
L3 lication fee {See applicable Rule
A # 725 00 ~GV a.z '~ R"r
. pp
to determine amount)