PERMFILE104987

• Permit No: M1985085
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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sss
~:~~_ pr ~Ji•7 r3d0 AcJIiC3tiCn 'Jr Mininc and
]r_ar:.~tnt r ;.a t::rai 3esourees ?eCl2m3:'Cn °!'-1[ _, PUrSUant
°i7 "c] L;v10 aL.~°AT':)! ?CaRO :o :RS ,7j, ?s-j;:-i0l et se^
133 Shermar Street, ~'.ccm 423
Denver, CO ?C203 (3o3)d3°-3:67
m-RS~ogS.
(Type or Print :1!arl•!)
1: Name of ooarattons
(Pit, mine or site name)
~. •
2: Name of applicant/operator
(Nam+s to bn used on penit)
3. Address and phone nur:ber of
local offices
4. Address and phone number
of general offices
P.O. Aox 5
Scott E. Johnson
5. Name and phone number of person Summit' F.ngineeri
staff members should contact
6. Parent Co notation, if any
(Include name 5 address)
CO
;. owner(s) of record of affected
land (surface area)
(If more than 2, list in .XH191T P)
8. G:+nar(s) of substance co be mined
(If morn than Z, list in "cXH19IT P)
Source of legal right to enter
(Indicate •~hat typo of proof is Deed
included in E:(HIBIT 0) -- `ICT'c: See
R'Jl: 9'.1(]), Rulaa i Regs,.p. kb.
10. Type o4 mine E substance to he mined
(Specify undersround, strip, open pi*_
etc. and substance(s) to be mined).
il. General lootion b elevation (miles b I
direttion from nearest CC+rn 6 approxi
mate site elavstion) 7800 feet above sea level
12. County
ry ~ Joanne Boyice
Ij. Acreage of affected sands (Total I •
suttees aereege co ba inciuded in I 20.6 Ac
permit (See RUL. I for definiticn).
14. Replication fee (See RUL: Z to
determine amount)
l5. Present land use (i.e., agricultural,
industrial, etc.) Native Raneeland
16. Surrounding land uses
17. Preacsed future land use (Final use
- -~-a+`iAA--f~G~amiC i on )
19. Unpermitted mining operations (See
(over}
I~%u1Y'~•- ~C;;3h