PERMFILE65962

• Permit No: M1980019
• IBM Index Class Name: Permit File
• Doc Date: 12/3/1980
• Doc Name: LIMITED IMPACT AND SPECIAL TEN DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~fITED Z~ACT AP7D SPECIAL ( . Y) III IIIIIIIIIIIIIIII
PERMIT APPLICATIOPI FORM sss
STATE OF COLORADO --'-° Application for Paining
FLtned Land Reclamation Board and Reclamation Perait,
Department of Natural Resources n;~, _., "~o~ Pursuant to C.R.S. 1973
1313 Sherman Street, Room 723 ~ 34-32-101, et seq.
Denver, Colorado 30203
r,i ~_., ~_. .
LIPfITED LIPACT OPERATIOI~3 must disturb LESS TITAN ten acres (including alI
Toads, stockpile areas and any other surface facilities) over the life of
the mine, and must extract LESS THAPI 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
in the narratives or elsewhere.
SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten
acres (including all roads, stockpile areas wad any other surface
facilities), aaP 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 TLtiiE. `,
TYPE OR PRINT CLEARLY ~ ~~l / /
1. Name of operat~.ons ~/,/, ~ci/ ,L~C1 /, T' /~
(Pit, mine, or site name)

2.

Name of applicant/operator n

i,~cK ~c
/' ~ ~C
1 ~
/it Ty' fC_!-~1~ S~ ~~,C~//1G(
(Name to be used oa permit)

3.
Address and phone number of i ):
rLC ~,~
- ~ N /'t L% ~~ ~
Local offices ~ _ ~
4. Address and phone number ~ ~ /~~ ~
of general of _f ices
5. Name and phone number of person ~ 'L-- ~~ -
staff members should contact (' ~~. _ ~ ~ ~/ _ _
~ ~. - ~,
b. Owner(s) of recora os artecrea ~ /./ ~ rc psi ai-.t~cic• ~_
land (surface area) '
(If more than 2, list below)
7. Owner(s) of substance to be wined ~~y} /-per
(If more than 2, list below)
8. Source of legal right to enter ~~/g s f
(Indicate what type of proof is
included is Exhibit G - lease, deed,
notarized letter, etc.)
9 S substance to be mined
i
f ~ k'Id L ~_/~ - ~'~/~ 7i /
. m
ne
Type o
(Specify underground, strip, open pit,
etc. and substance(s) to be mined)
0 levation ('tiles
S
i
G
l l ~E ~~ ~~ ~ ~~ S '~~~ ~~
.
. on
ocat
e
enera
6 direction from nearest town S ,., .~ _
~
approximate site elevation) #.
0
.1. county I ~r
2. Acrea a of affected lands i
~~ ~
' t~11 ~S
(Total surface acreage to be
included in permit) ~
I
3 lication fee (See applicable Rule
A
.
. pp
to determine amount)
c