PERMFILE58757

• Permit No: M1998038
• IBM Index Class Name: Permit File
• Doc Date: 2/17/1998
• Doc Name: SPECIAL 111 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

..
Individual's Name:
Company Name
Street:
City:
State:
Area Code:
INSPECTION CONTACT
Individual's Name:
Company Name
Street: ,:
City:
State:
Area Code:
CC: STATE OR FEDERAL LANDOWNER (if anv)h/A
Agency:
Street:
City:
State:
-s-
Zip Code:
Telephone:
Baxter W. Kirkland
Kirkland Construction, R.L.L.P.
2101 Main Street ox
Rye
CO Zip Code: 81069
719- Telephone: [phone]
Zip Code:

Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER if an
Agency: /A
Street:
City:
State:
Area Code:
Zip Code:
Telephone:
11. Primary future (Post-mining) land use, check one:
_ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA)
~ Rangeland (RL) _ Forestry (FR) _ Wildlife Habitat (WL)
_ Reeidential(RS) _ Recreation(RC) _ Industrial/Commercial(IC)
Developed Water Resources (WR) _ Solid Waste Disposal (WD)
12. Primary present land use, check one:
_ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA)
~ Rangeland(RL) _ Forestry(FR) _ wildlife Habitat (WL)
Residential (RS) _ Recreation (RC) Industrial/Commercial (IC)
_ Developed Water Resources (WR) _, Mining (MN)
13. Maps ~ Exhibits:
Submit two (2) complete, unbound copies of the following application exhibits:
6.3.1 EXHIBIT A - Legal Description and Location Map
6.3.2 EXHIBIT B - Site Description
6.3.3 EXHIBIT C - Mining Plan
6.3.4 EXEiIB IT D - Reclamation Plan
6.3.5 EXHIBIT E - Map
6.3.6 EXHIBIT F - List of Other Permits and Licenses Required
6.3.7 EXHIBIT G - Source of Legal Right-to-Enter
6.3.8 EXHIBIT H - Municipalities Within a Two-mile Radius
6.3.10EXHIBIT I - Proof of Filing With County Clerk
6.3.11EXHIBIT K - Terms o£ Governmental Contract
6.4.19EXHIBIT S - (as required)
6.5 Geotechnical Stability Exhibit (as required)