PERMFILE58308

• Permit No: M1977044
• IBM Index Class Name: Permit File
• Doc Date: 6/5/1978
• Doc Name: LIMITED IMPACT AND SPECIAL PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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LIMITED II~ACT AND SPECIAI. (TEN-DAY)
PERMIT APPLICATION FORM
STATE OF COLORADO R ~~ ~' ~~
Nixed Laad Reclamation Board
Department of Natural Resources
1313 Sherman Street, Room 723 ,J~tJ - 5 1978
Deaver, Colorado 80203
IIIlIIIIIIIIIIIIIII
Application for Ptining
sad Reclamation Permit,
Pursuant to C.R.S. 1973,
34-32-101, et seq.
MINED LAND RECI.AMATtON
LIMITED II~ACT OPERATI~n~~ ~~bR~kce$iAN ten acres (including all
roads, stockpile areas sad any other surface facilities) over the Iife 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 it up to ten acres
iit 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), an8 can ONLY be obtained where a federal, state, county,
city, town, or special district contract calls for work to ba
commenced within a SPECIFICALLY SHORT TIME.
TYPE OR PRINT CLEARLY
~I~'-~f
1. Name of operations Costilla County Gravel Pit ~1
(Pit, mice, or site name)
2. Name of applicant/operator Costilla County
(Name to be used on permit)
3. Address and phone number of ~ P.O. Box 100 San Luis, Colo, 81152
local offices PHONE # [phone]
4. Address sad phone number P.0. Box 100 San Lois, Colo. 81152
of general offices
PHONE: [phone]
5. Name sad phone number of person Max M. Rivera, County Administrator
staff members should contact ( PHONE: [phone]
6. Owner(s) of record of affected Costilla County
(
land (surface area)
(If more than 2, list below)
7. Owner(s) of substance to be mined Costilla County
(If more than 2, list below)
8. Source of legal right to enter DEED- Recorded July 3, 1973, Hook 196
(Indicate what type of proof is
included in Exhibit G - lease, deed,
Page 117, Costilla County
notarized letter, etc.)
9 e of mine 6 substance to be mixed
T Open ait mining of aaareaate gravel
. yp
(Specifq underground, strip, open pit,
etc. sad substance(s) to be mixed)

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General location 6 elevation ('.~Siles 1 Mile South of Los Fuertes Community
. 6 direction from nearest town 6 elevation approximately, 8,000 feet
approximate site elevation}
:1• Countq Costilla
L2. Acreage of affected leads 8,35
(Total surface acreage to be
included is permit)
:3: Application fee (See applicable Rule $135.00 '
to determine amount)
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