PERMFILE61742

• Permit No: M1995097
• IBM Index Class Name: Permit File
• Doc Date: 11/21/1995
• Doc Name: LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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PERMITTING CONTACT (if different from applicant/operator above)
Individual s Name: Larry F. Brown. Ph.D. Title: Consultant
Company Name: L F Brown & Assoc InC
Street: p O Box 698
City: Idaho Sorinas
State: Colorado Zip Code: 80452
Area Code: 303 Telephone: [phone]
INSPECTION CONTACT
Individual s Name: Gary A Wright _
Company Name: See above
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any )
Agency: N/A
Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if any )
Agency: N/A
Street:
City:
State: Zip Code:
Area Code: Telephone:
11. Primary future (Post-mining)land use (check one):
_ Cropland(CR) _ Pastureland(PL) General Agriculture(GA)
Rangeland(RL) _ Forestry(FR) 2 Wildlife Habitat(WL)
3 Residential(RS) _ Recreation(RC) 1 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) X Mininq(MN)
13. If this operation will use designated chemicals, or will result, or presently has
acid mine drainage - you cannot use this application form. You must submit a either
a 110d or 112d application form for Designated Mining Operations. In either case,
you must list any acidic or toxic-forming materials, exposed or disturbed as a
result of the mining operation, and whether the opera tion will result in or
presently has acid mine drainage:
Description of Conversion:
If you are converting an existing operation, provide a brief narrative describing the
proposed change(s).
Mans ~ 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 EXHIBIT D - Reclamation Plan
6.3.5 EXHIBIT E - Maps
6.3.6 EXHIBIT F - List of Other Permits and Licenses Required