PERMFILE56859

• Permit No: M1979163
• IBM Index Class Name: Permit File
• Doc Date: 9/4/1979
• Doc Name: LIMITED IMPACT 110 & SPECIAL 10 DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

7/78
IMITED IMPACT (I10) and
SPECIAL TEN-DAY (I11) PERMIT
APPLICATIOtJ FORM
State of Colorado
Department of Natural Resources
MINED LAND RECLAMATION DOA RD
1313 Sherman Street, Room 723
Denver, CO 80203 (303) 839-3$67
Application for Hining and
Reclamation Permit, pursuant
to CRS 1973, 34-32-101, et seq
The following explanations cover Limited Impact applications (110s) and Special (Ten-
• Day Processing)(llls) applications. In the interests of efficient processing, please
check the appropriate box to indicate which type of application you are applying for here.
x LIMITED IMPACT OPERATIOIJS must disturb LESS THAtJ 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 [hereof per calendar year. If the affected
area is some fraction greater than nine acres, be sure NOT to round this
figure out to ten acres in the narratives or else.+here.
SPECIAL (TE1J-DAY PROCESSING) operations must disturb LESS THAN ten acres
(including all roads, s~o~kpile areas and any other surface facilities),
and can ONLY be obtained l•+here a federal, state, county, city, torn or
special district contract calls for work to be commenced ~•iithin a
SPECIFICALLY SHORT TIME.
(Type or Print Clearly)

y
1. Name of operation Shannon Pit
i
i
(
i
t, m
P
ne or s
te name)
2. Name of applicant/operator Colorado Division of Highways

(Name to be used on permit)
~. Address and phone number of p,0, Box 536 - Pueblo, CO 81002
local offices
Phone [phone]
4. Address and phone number.of 4340 E. Louisiana - Denver CO 80222
general offices
Phone [phone]
$. Name and phone number of person
f•1 GaicPrt __
staff members should contact
Phone [phone]
6. Go-mer(s) of record of affected
land (surface area) (If more Cecil and Helen Shannon
than 2, list below)
7. Owner(s) of substance to be mined cil and Helen Shannon
C
e
(If more than 2, list below)
8. :~urce of legal right to enter
(Indicate what type of proof is Option to Buy Itaterial '
included in EXHIBIT G - lease,
deed, notarized letter, etc.)
9• Type of mine & substance to be
mined (Specify underground, strip, Open Pit - Gravel
open pit, etc. & substance(s) to
be mined)
0. General location E elevation
(Miles & direction from nearest 6 Miles Southwest of Ktm
taan E approximate sita eleva-
t i on)
11. County
Las Animas
12. Acreage of affected lands
(Total surface acreage to be
6.024 Acres
included in ermit
13. Application fee (See applicable
RULE to determine amount) 95.00
(ow_r)