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

r;Fur'.;;aT]G:J~f;EED`D 2Y THE DI VI.r,IDN OF W1LDL]FE FDR A MINED LAND RECLAMATID;d
PERMIT WILDLIFE STAT~I-;ENT
1. Nam= of Company: Ebberts Construction Company
2. P;ama of Contact Person: Ron Ebberts
3. Phone Number.: [phone] '
4. i~7ailing Addrass: Box 223, Egnar, Colorado 81325
5. Name ^f Mine' Ebberts Construction - Disappointment Valley
T 43 N,.R 17 W, SW 1/4 NW 1/4 Section 20,
6. Location of ~~iine: _N.M.P.M.
Township, Range, Section and Quarter Section
7. Land Dwn=rship: (Cir_cle) 1. Private 2. BLM 3. Forest Service
4. Other (Specify)
8. Type of Operation: (Circle) 1. Surface ~. Underground
9, A~umber of surface acres disturbed by mining operation, (not including
roads). •.•9.14 acres
1D, Miles of roads constructed, or to be constructed, associated with
600 feet of temporary road,
mine operation (including exploratory roads). 20 feet wide, approximately
.28 acres.
11. Approximate numb=r of years mine will be in operation: 3 years
12. brief desc=lotion of ooera~ion and rerl.-~=ien Glans: See attached
exhibits from MLRB application.
13. P1~•ase enclose a copy of a map showing the project distu^bance areas,
and additional information on the operation, if the material is
availabl=_. This will help the D.D.W. expedite processing a wildlife
statement for your I'~LR application, Insufficient information on
project location and plans often results in a delay in providing a
statemant. Your cooperation is appreciated.