1980-12-01_PERMIT FILE - M1980249

• Permit No: M1980249
• IBM Index Class Name: Permit File
• Doc Date: 12/1/1980
• Doc Name: LIMITED IMPACT 110 AND SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

+ III IIIIIIIIIIIIIIII 999 OPELIITEDCIAI TEN—DAYT(111))PERMIT / ` 1
State of Colorado Application for Mining and
Department of Natural Resources Reclamation Permit, pursuant
.INFO LAND RECLAMATION BOARD 1 198� to CRS 1973, 34-32-101, et seq
1313 Sherman Street, Room 423 ;
Denver, CO 80203 (303) 839-3567 0 r�
The following explanations cover Limited Impact applications (110's) and Special (Ten-
Day Processing)(111's) applications. In the interests of efficient processing, please
check the appropriate box to indicate which type of application you are applying for
here. 111 permits may be issued only under special circumstances. Be sure you are
eligible.
LIMITED LYPACT OPERATIONS must disturb LESS THAN 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 round this figure out to ten acres in
the narratives or elsewhere.
SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres
(including all roads, stockpile areas and any other surface facilities) ,
and 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)
1. Name of operation -lde/2/ -4 XW19i'e i
(Pit, mine or site name)
2. Name of applicant/operator
(Name to be used on permit)
3. Address and phone number of
local offices —
4. Address and phone number of S.SI1hE
general offices i
5. Name and phone number of person Ht-teeA/i
staff members should contact
6. Ownar(s) of record of affected :and 'l /yllecl
(surface areaX If more than 2, list below)
7. Owner(s) of substance to be mined (' /h' r I • !�'��i N
(If more than 2, list below)
S. Source of legal right to enter 7- 7
(Indicate what type of proof is / l f �/ /,! bC
included in EXHIBIT G - lease,
deed, notarized letter, etc.)
9. Type of mine 5 substance to be ^�
mined (Specify underground, strip,
open pit, etc. S substance(s) to
be mined)
10. General location S elevation
(Miles S direction from nearest 3
town S approximate site elevation)
11. County
12. Acreage of affected lands
(Total surface acreage to be 2
included in permit) 3 05�,—lee'
r
13. application fee (See applicable
RULE to determine amount) !�5—`e�
74. Present '_and use (i.e. , agri- (� 40NL'
cultural, industrial, etc.) 11 //
15. Proposed future land use J%C �i G e' 1��1 Gam{ IE'�y ./}/y/]
(Goal of reclamation)
(over)