PERMFILE121666

• Permit No: M1975009
• IBM Index Class Name: Permit File
• Doc Date: 3/27/1981
• Doc Name: LIMITED IMPACT & SPECIAL TEN DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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LIMITEP~R t~i®A~tEN-DAY)
STATE OF COLORADO Application for Mining
I•Sined Land Reclamation Board FrA+~R 2 ,1, ~~$~ and Reclamation Permit,
Department of Natural Resources Pursuant to C.R.S. 1973,
1313 Sherman Street, Room 723 MINED LAND FiECLA~^P,T!ON 34-32-101, et seq.
Denver, Colorado 80203 ~~!~. Dept. of ~!3ILra! r?~ ;e"rces
LIt4ITED I;SPACT OPERATIONS must disturb LESS THAN ten acres (including all
roads, stockpile areas and any other surface facilities) over the life of
the mine, and must extract LESS THAi7 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 it up to ten acres
in the narratives or elsewhere.
SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS TH.~N ten
acres (including all roads, stockpile areas and any other sur..face
facilities), anrr can ONLY be obtained where a federal, state, county,
city, town, or special district contract calls for work to b.:
commenced within a SPECIFICAiLY SHORT TIME.
TYPE OR PRINT CLEARLY
1. Name of operations
(Pit, mine, or site name) ~ ~ Q!7 T V S ~ f fiS
2. Name of applicant/operator 1 LL~E ~ /~ `, 1,
(Name to be used on permit)
3. Address and phone number of 1/377 ~~A//~U/Pe.,Re~

local offices _
~ ~~„
(In ~~ ~iQS' d~ oh! lO~~ ~S ~
~ Z
4. Address and phone number '
~A M E ,~~~ /f
of general offices
5. Name and phone number of person ~ 1
staff members should contact _ QT
6. Owner(s) of record of affected l~
lR//c/~8e.4t~h/C'P ~ ~y
land (surface area) ,
~l
(If more than 2, list below)
7. Owner(s) of substance to be mined .S ~jl(~ 0(/ L°
(If more than 2, list below)
8. Source of legal right to enter ,D ~ P ~,l ~ w ~e ~~.
(Indicate what type of proof is
included in Exhibit G - lease, deed,
notarized letter, etc.)
4 ine ~ substance to be mined
f ~ ~+/ ~! ~ ~~~~;-~~ '~:
. m
Type o
(Specify underground, strip, open pit, ...
etc. and substance(s) to be mined)

0
vation (Miles
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~2. approxlmate site elevation)
County
Acreage of affected lands ! y~FF,PRIs,~j Gvi9 0,.,~
!/ ~
~ ,~ Q /Q e 5.
(Total surface acreage to be
included in permit) .~
L3 lication fee (See applicable Rule
Ap / ~ l7 n
. p
to determine amount)

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