PERMFILE61789

• Permit No: M1994114
• IBM Index Class Name: Permit File
• Doc Date: 10/26/1994
• Doc Name: LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-s-
City: Westcliffe

State: Colorado Zip Code: A1752
Area Code: 719 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: ~ Title:
Company Name:

Street:

City:
State: Zip Code:
Area Code: Telephone:

INSPECTION CONTACT
Individual' a Name : A r t h u r N o r d y k e
Company Name: Nordvke Construc tion
Street: 302 Main St.
City: Westcliffe
State: Colorado zip Code: 81252
Area Code : 7 1 9 Telephone : [phone]

CC: STATE OR FEDERAL LAN DOWNER (if anv)
Agency: NA

Street:
City:
State: Zip Code:
Area Code: Telephone:
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: NA

Street:
City:
State: Zip Code:
Area Code: Telephone:

11. Primary future (Post-mining) land use (check one):
C- ro and(CR) Pastureland(PL) _ General Agriculture(GA)
_
Ranc~eland(RL) _ Forestry (FR) _ Wildlife Habitat(WL)
Residential(RS) Re creation(RC) Industrial/Commercial(IC)
_ Developed water Resourcee(wR) _ Solid Waste Disposal(WD)
12. Primary ore sent land use (check one):
Cropland(CR) Pastureland(PL) General Agriculture(GA)
~ Rangeland(RL) _
_ Forestry (FR) _ Wildlife Habitat (WL)
Residential(RS) Recreation(RC) Industrial/Coo¢nercial(IC)
_ Developed water Resources (WR) _ Mining (MN)
73. 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 operation 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).
twos 6 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 8 - Site Description