PERMFILE114512

• Permit No: M1980052
• IBM Index Class Name: Permit File
• Doc Date: 3/17/1980
• Doc Name: LIMITED IMPACT 110 AND SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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$[ate of Colorado Apolic a[ion for Mining and
Decar:ment of tlatural Rescurces ,iqR 1 7 ~~~fl~ Reclam ation ?ermit, pursuantr
WINED LAND RECLAMAT:CN 3CARD to CRS 19;3, j4-32-101, et seG
1313 Sherman Street, R oam 723
Denver, CO 80203 [phone] '•_.AVD RECLP.`~^"
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The followins explanations cover Limited 1,-pact applications (IIOs) and Soecial (Ten-
Day ?rocessing)(llls) applications. In the interests of afficienc processing, phase
check the appropriate Box to indicate which type of applica[ien you are apol!ing for here.
LIMITED IMPACT OPERATIONS oust distun LESS THAN ten acres (including
all roads, stockpile areas and any ocher surfdce facilities) aver the
life of the mine, and must extract LESS THAN ?0,000 cons of mineral,
overourden or comoination thereof per calendar year. If the af'act_d
area is ;cme fraction treater than nine acres, be sure >IOT to round thi;
figure out to ten acres in the narratives or e'sas.nere.
~_~ SPECIAL (Tul-DAY PROCESSING) coerations must disturb LESS T4AN ten acres
(including all reads, st~c:<~ile areas and any other ;urface facilities),
and can ONLY be obtained where a federal, ;taco, counrt, city, town or
special district contract calls for wo r'< to Se commenced within a
SPECIFICALLY SFORT TIME.
(Type or Print Clearly)
1. Name of ooe ration
Ho ei. ~rer Gr v-7. Pit
(?i[, mine or ;i-e name)
2. Vane of apollcancioceracor ~ a ~ e'. h HnleinQer 0 - 2 -1 SS'
_ (Name to Se ~s2d on permit)
P,U, Nox 'i7 '.t'a1dMn, Colo, 8Ols8O
3. Addrer and phone number of p 0 Nox '•+aldo,; Colo. GOL~1;O
Iccal offices
303-7~'-I15a7
4, acdress =_nd onone number of Nox 37 ;:alden
Colo,
P
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3U
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_-ever;I of `ices
303-7?R-l.~rf~~~
5. ?lame arc pncr,e numter .; ercn I Y.eith iiolsinger "iO?-7~3-Ix.S~37
staff .~.emcers should contact
d. Owner(,s) of record of affected
land (surface area) (If „ore Fern liolsan~er
Cn do ~, liiC b21CwJ
7. Cwne.^(s) Or SUbS Canca .O be .Wined ~
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(If mar: than 2, list below)
8. Sousa of le;ai rich[ to ,en ter
(Indicate whdt type of proof is ?h~ti•a.c~.s
included in EXHISIT G - lease,
dead, notarized latter, =_cc.)
9. Type of mine b sub;tanc_ ~o be '
mined (Soecif~~ under round, ;trio, Oren Pit Gravel
Coen tit etc. ~ substance(s) to
'oe mined)

1C.
general location ~ elavation _
(Miles direction from nearest 3 chiles S13 of Belden, Colo, on Colo. 3ta
Cown & approximat_ site eleva-

CICn)
F14! 1L ~1CVH.tlOri pp
V,000 i'eet
II. County I -
A it
12. ?creaee Of aifeCted lands
(Total ;urface acreaee to be
inplud_~ in per-7i ;,1 ~~,7~)Cj :~CP~3
13, rpDll~"dClOn fee (See dpolicaole
RULE to detemine amount) "r1?[
to
(over)