REV05435

• Permit No: M1980143
• IBM Index Class Name: Revision
• Doc Date: 2/19/1985
• Doc Name: LIMITED IMPACT 110 & SPECIAL TEN-DAY 111 PERMIT APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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Ricftartl D. Lamm
Governor
t- III IIIIIIIIIIIIIIII •
DEPARTMENT OF NATURAL RESOURCES
Davitl H. Getcnes, F~cecutive Director
MINED LAND RECLAMATION DIVISION
DAVID C. SH ELTON, Dlroctor
LIMITED IMPACT (110) AND ~ Fed ~.~ 1595
SPECIAL TEN-DAY (111) PERMIT
APPLICATION FORM MINED IANp RECIAMATIpN DIVISION
Coio. Dept. of Nstursl Resources
Application for Mining and Reclamation Permit, pursuant to C.R.S. 1913, 34-3Z-101,
et sec, as amended.
The following explanations cover Limited Impact applications (110's) and Special
(Ten-Day Processing - 111's) applications. In the interest of efficient processing,
please check the appropriate box to indicate which type of application you are applying
for. 111 permits may be issued only under special circumstances. Be sure you are
eligible.
I_I LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all
roads, stockpile areas and any other surface facilities) over the life of the
mine, and must extract LESS THAN 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 this figure up to ten acres in
the narratives or elsewhere.
~~~ SPECIAL (ten-day processing) operations are any sand, gravel, or quarry
aggregates operations which are to be operated for the sole purpose of
obtaining materials for highway, road, utility, or similar-type construction
under a Federal, State, county, city, town, or special district contract where
the contract calls for work to be commenced within a specifically short time
and which will affect ten acres or less (including all roads, stockpile areas,
and any other surface facilities).
INSTRUCTION: This application and all accompanying materials as outlined below must be
submitted in duplicate. For further guidance, and information for Limited
Impact Operations, see Rule 3 and for Special Permits, see Rule 4.
(Type or Print Clearly)
Name of operation
(Pit, mine or site name) ~e~a 5
2. Name of Applicant/Operator
(Name to be used on permit)
423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. [phone]