PERMFILE122249

• Permit No: M1980038
• IBM Index Class Name: Permit File
• Doc Name: LIMITED IMPACT 110 & SPECIAL 10 DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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999
State of Colorado
Department of Natural Resources
MINED LAND RECLAMATION BOARD
1313 Sherman Street, Room 723
Denver, CO 80203 [phone]
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Application for Mining and
Reclamation Permit, pursuant
to CRS 1973, 34-32-101, et seq
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The following explanations coax!'-L~ited'Ittipacf 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. $e sure you are
eligible.
LIMITED IMPACT 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 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.
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S~SF~r~Y
(Type or Print Clearly)
1. Name of operation Disappointment Valley
{Pit, mine or site name)
2. Name of applicant/operator Ron Ebberts
(Name to be used on permit)
3. Address and phone number of Box 223, Egnar, Colorado 81325
local offices 303 677-2476
4. Address and phone number of Same as #3 above.
general offices
5. Name and phone number of person Gerald D. S'aastad 218 Dlinin Exchan e Bldg
staff members should contact Colorado Springs, Colorado 80903 / 473-5858
6, Owner(s) of record of affected land United States of America, Bureau of
(surface areaXIf more than 2, list below) Land Management
7. Owner(s) of substance to be mined Same as #6 above.
(If more than 2, list below)
8. Source of legal right to enter
(Indicate what type of proof is U.S. Government Contract for Sale of
Materials ravel - Contract
included in EXHIBIT G - lease,
deed, notarized letter, etc.) #CO-030-MPO-1
9. Type of mine & substance to be
mined (Specify underground, strip,
0 en Pit Gravel D1ine.
open pit, etc. b substance(s) to
be mined)
10. General location & elevation
ti
(Mil
& di
f
t Approximately 12 miles southeast from
es
rec
on
rom neares
town & approximate site elevation) Slick Rock, Colorado; elevation $9 ee
11. Connty San Miguel County
12. Acreage of affected lands
(Total surface acreage to be
included in permit)
9.42 acres.
13. Application fee (See applicable
RULE to determine amount) $ 125.00
14. Present land use (i.e., agri- Wildlife Habitat and Range.
cultural, industrial, etc.)
15. Proposed future land use Wildlife Habitat and Range.
(Goal of reclamation)
LIMITED IhIPACT (110) and
~PECLAL TEN-DAY (111) PERMIT
APPLICATION FORM _

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