PERMFILE68123

• Permit No: M1994117
• IBM Index Class Name: Permit File
• Doc Date: 12/12/1994
• Doc Name: LIMITED IMPACT OPERATION 110
• Media Type: D
• Archive: No

• _2- •
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: 7. ~AV7,(lf TjgTMA,V
Company Name: C.o.~,21/C.
Street: p0 Ror /430 _ _
City: SyL_F~t
Tit1e:~Q/ ~/.A
State: CO Zip Code: _~O{fix-oj,(Zy~
Area Code: ~D~ Telephone: ~L4y-7f~L
INSPECTION CONTACT
Individual's Name: T• 4 VA1C T~~./
Company Name : ~. d. N. ~I/G
Street: PD Rox Mdor~
City: $Ou [~
State: Zip Code:
Area Code: ~d~ Telephone: -
Agency:
Street:
City:
State:
Area Code:
Telephone:
Zip Coda:
Agency: _~ ~
Street:
City:
State: Zip Code:
Area Code: Telephone:
11. Primary future (Post-mining) land use (check one):
_ C~and(CR) Paetureland(PL) General Aggrriculture(GA)
_ Rangeland(RL) ~,~horestzy(FR) - Wildlife Eiabitat(WL)
_ Res>.dential(RS) _ Recreation(RC) - Industrial/Cammercial(IC)
_ Developed Water Reeourcee(WR) = Solid Waste Diepoeal(WD)
12. Primary ree n land use (check one):
_ Crop and(CR) Paeturelend(PL) _ General Agriculture(GA)
_ Rangeland(RL) ~(Foreetr]~IFR) _ Wildlife Habitat(WL)
Reeidential(RS) _ Recreation(RC) Iadustrial/Commercial(IC)
developed Water Resourcee(WR) = Mining (tai)
13. if this operation rill use deeignnted chemicals, or rill 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 Miaiag Operations. Za either case,
you must list any acidic or toxic-forming materials, exposed or disturbed ae a
result of the mining operation, sad rhether the operation rill result in oz
presently has acid mine drainage: ~i/~
Description of Conversion:
I you are converting as existing operation, provide a brief narrative describing the
proposed r}+wnge (6) .
t~pa 6 Exhibits:
Su t tro (2) complete, unbound copies of the Polloriag application exhibits:
6.3.1 BIDiIBIT A - Legal Description and Location Map
6.3.2 S7DiZBIT B - Site Description
6.3.3 87QiIHIT C - Mining Plaa
6.3.4 EXHIBIT D - Reclamation Plan
6.3.5 SXtiIBiT B - I4aps
6.3.6 EXHIBIT F - Liet o! Other Permits and Licensee Required