1993-02-02_REVISION - M1980149

• Permit No: M1980149
• IBM Index Class Name: Revision
• Doc Date: 2/2/1993
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: AM2
• Media Type: D
• Archive: No

WELD COUNTY, COLORADO
USE BY SPECIAL REVIEW APPLICATION
for
MINING PERMIT
Weld County Department of Planning Services, 915 loth Street, Greeley,
Colorado, Phone [phone], Extension 4400
For Department of Planning Services Use Only Case Number:
Date Application Received: PC Hearing Date:
Section: Township: North, Range: West
Zoning District:
Recording Fee: Permit Fee:
Recording Fee Receipt 0: Receipt Number:
Application Reviewed By:
To be completed by APPLICANT in accordance with procedural guide
Requirements:
1 . I (we) , the undersigned, hereby request a hearing before the Weld
• County Planning Commission concerning a proposed gravel
(gravel, coal, borrowpit , etc.) mining operation for the following
described unincorporated area of Weld County:
LEGAL DESCRIPTION See Exhibit "A", Plan Sheet No. 1
TOTAL ACREAGE:
2. Surface owner(s) of area of land described
Name: Weld County, CO Address: 915 loth Street Phone: [phone]
Name: Address: Greeley, CQ 80631 Phone:
3. Owner(s) of mineral rights to substance to be mined
Name: Weld County, CO Address: 915 loth Street Phone: (303) 356-4000
Name: Address: Greeley, CO 80631 Phone:
4 . Source of applicants' legal right to enter and to mine on the land
described: see Exhibit "0"
(Attached certified copy of any document noted to the back of this form)
5. Address of applicant and general office 80631
Applicants address: 915 loth Street, Greeley, CO Phone: (303) 356-4000
General Office address: 915 loth Street, Greeley, Phone: (303) 356-4000
6. Identify any prior permits for mining held by applicant or affiliated
person: waived by applicant