PERMFILE110099

• Permit No: M1979216
• IBM Index Class Name: Permit File
• Doc Date: 12/17/1979
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~; r 1
~ ~~ LIMITED IIMPACT (110) and
` ., ~ SPECIAL TEN-DAY (111) PER.`tIT•
:~ APPLICATION FORM
~.
State of Colorado Appl?.cation for Mining and
Department of Natural Resources Reclamation Permit, pursuant
MINED LAND RECLAMATION BOARD to CRS ]973, 34-32-101, et seq
1313 Sherman Street, Room 723
Denver, CO 60203'[phone]
The following explanations cover Limited Impact applications (110's) and Special (Ten-
Day Processing)(111's) applications. In the interests of efficient processing, please
check the appropriate box to indicate which type of application you are applying for
here. 111 permits may be issued only under special circumstances. Be sure you are
el_igi/ble.
~j) LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including all
444~~~ 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 out to ten acres in
the narratives or elsewhere. T
D SPECL4L (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres
(including all roads, stockpile areas and any other surface facilities),
and can ONLY be obtained where a federal, state, county, city, town or
special district contract calls for work to be commenced within a SPECIFICALLY
SHORT TIME.
(Type or Print Clearly)

1. Name of operation FREMONT COUNTY DISTRICT #2 GRAVEL PIT
(Pit, mine or site name) FLORENCE, COLORADO

2.
Name of applicant/operator _
COMMISSIONER JOHN BUGLEWICZ
(Name to be used on permit) p, 0. BOX 1007 CANON CITY COLORADO 81212
3. Address and phone number of P. 0. BOX 1007, CANON CITY COLORADO 81212
local offices 275-1511 extension 13
4. Address and phone number of P. 0. BOX 349 CANON CITY COLORADO
general offices PLANNING & ZONING OFFICE 275-1511 extension 50

5. Name and phone number of person DOLLY DUE FIELD ACTING PLANNING DIRECTOR
staff members should contact p, O, BOX 349 CANON CITY CO. 31212 275-1511 51

6, Owner(s) of record of affected land FREMONT COUNTY DISTRICT #2
(surface areaXlfmorethan2,listbelow) FREMONT COUNTY BOARD OF COMMISSIONERS
7. Owner(s) of substance to be mined FREMONT COUNTY DISTRICT #2
(If more than 2, list below) FREMONT COUNTY BOARD OF COMMISSIONERS
8. Source of legal right to enter
(Indicate what type of proof is DEED IN FREMONT COUNTY'S NAME - SEE ENCLOSURE
included in E3FHI$IT G - lease,
deed, notarised letter, etc.)
9. Type of mine 6' "substance Co be
mined (Specify underground, strip, GRAVEL PIT FOR BLACKTOPPING AND UPGRADING ROADS
open pit, etc. b silbsl;anCe(s) to
be mined)
l0. 6ene,::.t1 locat~6ii & elevation Just North of the Arkansas River and So
th
f
(Miles F, direction From nearesC u
o
town & approximaK_e Site elovation) the Fremont County Airport. S a b 0 - 5 3Da •Fcc~t

ll-. Comity

i
__: --- -- __ - _ FREMONT

12. c-
Acrea~~' of nfiected iaiid3
~~-
('foy}, '
su~fa~4l tct~e-'.alb tcJ be
incl.Gdeft tti
~B:,d~:>:7 _
---- 9.9 ACRES
--_--
1:97 E
~~% ~5eaC1:di1 L~.~ ~'bs1~ d}l~dd+d~a~1b
~~
R
to determine amoUht) $50.00 BASIC FEE
14. Pr e's etlt ihnd use (i.e., agri-
_ ciil[11~'~i; ind'uscial, etc.)
~~• Pro''¢aa'~i) 'FcStt4r'e hand use
S,~a¢i bf rc`~`c'1-2+~sEion)
AGRICULTIIRAi
(over)