2003-04-30_PERMIT FILE - M2003030 ‎(2)‎

• Permit No: M2003030
• IBM Index Class Name: Permit File
• Doc Date: 4/30/2003
• Doc Name: Permit Application
• From: Joseph L. Dorris
• To: DMG
• Media Type: D
• Archive: No

STATE OF COLOIZA.DO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman 5t., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
F I L E C 0 PY LIMITED IMPACT OPERATION (110(2))
fOR SCANN/NG ~' CLAMATION PERMIT
APPLICATION FORM
RE
'~ APR t 6 2003
~~
DIVISION O
MINERAL!
GEOLOGl
RECLAMATION
I MINING•SAFETt
thiaisian of Minerals and Geo
ei Owens
Governor
CIiBCIC ONE: V New Application (Rule 1.4) Conversion Application (Rule 1.11)
Permit # M- 000 - O 3 ~ ~ (provide for conversions of existing permits)
Greg E. Walther
Executive Director
Michael 8. Long
Division Director
The application for a Limited Impact Designated Mining Operatioa Reclamatioa Permit contains three major plants: (I) the
application form; (2) Exhibits A-J, a~ regained sections of Exhibit S and Geotcehnical Stability Exhibit, as required by the Office,
and outlined in Rules 6.1, 6.2, 6.3, 6.4.19 and 6.5; and (3) the application fee. When you submit your application, be sure to include
one (1) signed and notarized original and one (1) copy of the application form, hvo (2) ct>~es ofExlibits A-J, appropriate sections of
6.4.19 Exhibit S and 6.5 (Geotechnical Stability Exhibit), as required, and a check for the application fee described under (4) below.
Exhibits should not be bound or in a 3-ring binder; maps should be folded to 8 1/2" X Il" or 8 1/2" X 14" size. To expedite
processing, please provide the information in the format and order descnbed in this form.
GENERAL OPERATION INFORMATION
Type or print clearly, in the space provided, alt i~ormation described below
1. Aoolicant/ooerator or comnanv Dame name to be used an the oermitl: ~CISP~~ ~ ' ~ oRiQ i 5
1.1 Type of organization (corporation, partnership, etc.): S o/~ pro,d/%e ~ f
1.2 I.RS.TaxIDNo.: S78~(oL.-//o(c7
2. Oceratioe name (n it, mine or site name): G/<! L/ 2/- lea k ~' n''
3. Permitted acrea¢e (new or eastin¢ site):
4. Fees•
4.1 New Application
4.2 Conversion-Fee (from IlOd to 110(2), (Role 1.11.2(2))
5875.00 application fee
5875.00 conversion fee
5. Primary commoditie(s) to ire mined: moK a~ Fmk oni~ ~TPi~saeB~ii~° ~Ni~9~/Y..'~S
-
`

6. Name of owner to the surface of affected land: U.S • ~~ F=D/r's
~ $2
/- of ~ f; r~71 ~vC i U~ S rJi c~._

7. Name d owner to flee subsurface riehts of affected land: .~o5e~/, Z , 1~oR,p7S
~ permitted acres
8. Tvce of miaina operation: / Surface Underground / In-situ