PERMFILE55812

• Permit No: M1985211
• IBM Index Class Name: Permit File
• Doc Date: 12/18/1985
• Doc Name: LIMITED IMPACT AND SPECIAL TEN DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~MITED IMPACT ANP SPECi4L TEN~'t III ~IIIIIIIIIIII III
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PERMIT APPLICATIOI7 FGR*t
STATE OF COLORADO Application for Planing
Iitned Land Reclamation Board and Reclamation Permit,
Department of Natural Resour~~~~~~ Pursuant to C.R.S. 1973,
1313 Sherman Street, Room 72 34-32-101, et seq.
Denver, Colorado 80203
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LII4ITED I:`IPACT OPERATI~~must~odisturb LESS THAPI ten acre (including all
roads, stockpile are a ace facilities) ver the life of
the mine, and mu~~ 00 tons of miner 1, overburden
or combination th~el~o~e~ If the affecte area is some
fraction greater than nine acres, be sure NOT to round it up to ten acres
in the narratives or elsewhere.
I
SPECIAL (TEN-DAY PROCESSING) operations gust disturb LESS THAN ten
acres (including all roads, stockpile areas and any other surface
facilities), anr~ can ONLY be obtained where a federal, st te, county,
city, town, or special district contract calls for work t be
commenced within 3 SPECIFICALLY SHORT TIME. ~
o 1 ~3
8
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TYPE OR PRI*T
CLEARLY S • Z
T IaS
1. Name of operations .
7
n f t ~ ~O c. c~ PIN q h ~ r
(Pit, mine, or site name) ~
2. Name of applicant/operator p 4 4h 1 o h
(Name to be used on permit)
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3. Address and phone number of $ o Co
G63-! q ~,
Z
local offices ~
~ $a
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4. Address and phone number ,4,~,~
of general offices
5. Name and phone number of person ~ p 1 r N ~.
staff members should contact I _ 1
6. Owner{s) of record of affected
land (surface area) 4 e
, r
r
(If more than 2, list below) I
7. Owner(s) of substance to be mined S.4
(If more than 2, list below) I

8. Source of legal tight to enter !!
w H w h h ~
+ r +
(Indicate what type of proof is
included in Exhibit G - lease, deed,
notarized letter, etc.)

Type of mine ~ substance to be mined
9 n r - ~ ~
.
(Specify underground, strip, open pit,
etc. and substance(s) to be mined)
General location ~ elevation (Miles
0 ~ o S 0~. f t
.
S direction from nearest town 6
~i- -' 1' r t 14 k~P Wr
S l~ o o U l ~ t
approximate site :levation) ~
~ ~
,l. County I G 1 ht P h
.2. Acreage of affected lands ~ ~~`R~
~
~I "~ ~`"~ ~' ~ ~~~" `~"
,
~
7 ~ ~ 3 5c
~~ ~
(Total surface acreage to be
included in permit) ~
5 ~~
3. Application fee (See applicable Rule
.
to determine amount)

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