PERMFILE108240

• Permit No: M1979102
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT 110 & SPECIAL TEN-DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

. -J,..f L'cry
7/7s y` i
LIMITED If1Dr~CT (li0) and
SPECIAL TEN-DAY.,,(Ill) PER111T
APPLICATION FORM
State of Colorado Application for Mining and
Department of Natural Resources Reclamation Permit, pursuait
MINED LAND RECLAh1ATI0tJ BOARD dui;.l ~ S('~C~~r~ to CRS 1973, 34-32-i01, ec <,eG
1313 Sherman Street, Room 723
Denver, CO 80203 [phone] `,7u ~: X17 !.; t:dG ~'`;Lr'~', i7~i .!.n r~
The follo~,:ing er.planations cover Limited Impact applications (110=;) and Special (Ten-
Day Processing)(llls) applications. In the interests of efficient: processing, please
check the ap?ropriate box to indicate o-ihich type of application you are applying fo.' here.
'_ LIMITED IMPACT OPEP,ATICNS must disturb LESS THAN ten acres (including
all roads, stockpile areas and any other surface facilities) over the
life or' the mine, and must extract LESS THAN 70,000 tons of mineral,
overburden or combination thereof per calendar year. I` the affected
area is some fraction greater Char: nine acres, he sure tJOT to round this
fioure out to ten acres in the narratives or else:~here.
_~ SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres
(including all roads, stockpile areas and any other surface facilities),
and can ONL`' be obtained where a federal, state, county, city, to~•rn or
special district contract calls for work to be commenced within a
SPECIFICALLY SHORT TIME. ~:. 7q.~C.)y~
(Type or Print Clearl;~)
1. Name of operation ~~
(P
i
it, m
ne or site name) --
2. Name of applicant/operator
(N
it)
t
b
d .r •~ ~„~~~ ,~~
--
o
e use
on perm
ame T
3. Address and phone number of Imo` ~,~•~
s
local offices ..
-~- ----
4. Address anc phone number of a 5415 ~~avR 'La~M~~Gki!,74 ~ 1a ry
rec.
general offices -
~4
.~~?
_ ~ 7G 3~ 5 3
5• Name and phone number of person ~""~
CY~C ~. IJdG•t
staff members should contact - ----
_
6. Owner(s) of record of affected
land (surface area) ( I f more ~ 6 b e Y~ ~ adc r

than 2, 1 i=_t beloo-r) _
-
7. Owner(s) of substance to be mined '~-'
~ u ~ e FT ~ d
~
2
(If
h
li
b
l
) /
,
more t
an
st
e
ow ---
8. Source of legal right to enter -
(Indicate ~•rhat type of proof is ^
~ . ~l/

included in EXHIBIT G - lease, ~--- ---'
deed, notarized letter, etc.)
9. Type of mine b substance to be
I
~
`L
~'~
mined (Specify underground, strip , -~~„~ti+.....
_t~_
./~-'-'

open pit, etc. E substance(s) to -^
be mined) _
10. General location & elevation ad /»w2 a Siam-~/1.. Gy k ~- ~-">"e"~"`~r•'~.-~
(Miles b direction from nearest oiv 7 W.^,d f,i~.,.w1~1 ____
town E approximate site el eva- _ y^~ n
'
`
t ion) U C:~
C "ti~7H.4e--.~,r I
,~
11. County ---i
v
~

12.
Acreage of affected lands _ ____
(Total surface acreage to be
i h ~~~~
ncluded in permi`)
13. Application fee (See applicable
RULE to determine amount) ~ c4.T.~-
C-o-aJ~~ M+- ~"Z'~~"`~"~ N f~~,,.v.`. '~
c r
~'3
9
IK1~