PERMFILE136302

• Permit No: M1987028
• IBM Index Class Name: Permit File
• Doc Date: 2/23/1987
• Doc Name: LIMITED IMPACT OPERATION 110 APPLICATION FORM
• Media Type: D
• Archive: No

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EXHIBITS A-G
Two copies of Exhibits A-G must be ,attached to the General Operation
Information upon submittal to the Dl vision. Each exhibit must be presented
separate from the other exhibits. For example, Exhibit A - Legal Description
should be on page 1 and Exhibit B - Site Description should start on page 2.
Please type the title of each exhibit at the top of each exhibit page. Please
number the pages of Exhibits A-G consecutively for ease of reference. The
following sections describe the minimum information that must be supplied for
each exhibit.
EXHIBIT A - Legal Description
The legal description must identify the affected land, specify the acreage of
affected land and be adequate for field location of the property. It should
be a description by reference to township, range, and section, to at least the
nearest quarter-quarter section. A metes and bounds survey description is
also acceptable. Where applicable, the street address or lot number(s) may be
used, This information is available from the County Assessor's office or maps
from the U.S. Geological Survey (USGS).
EXHIBIT B - Site Description
Items 1-3 below, must be addressed to the extent necessary to demonstrate
compliance with the applicable performance standard requirements of Rule 6,
At a minimum, you should include the following information.
1. A description of the vegetation and soil characteristics in the area of
the proposed operation. The local office of the Soil Conservation Service
(SCS) will provide you with this information as well as recommendations for
Exhibit D - Reclamation Plan. Contact the Regional SCS office in Denver at
[phone] or the Mined Land Reclamation Division for assistance in
locating the office nearest you.
2. A statement prepared by a representative from the local office of .the
.. Colorado Division of Wildllfe,or other qualified individual describing the
species and habitat of wildlife that might be affected by the proposed
operation and measures to be utilized to provide for the safety and protection
of wildlife, critical habitat or species. Contact the Division of Wildlife
;,,office in Denver at [phone] or the Mined Land Reclamation Division for
assistance in locating the office nearest you.
3. Identify any permanent man-made structures within 200 feet of the affected
area and the owner of each structure. Dermanent man-made structures include
houses, barns, fences, above or below ground utilities, irrigation ditches,
maintained or public roads, bridges, wells, pipelines, water storage
impoundments, railroad tracks. cemetaries, and communication antennas. Each
structure should be located on Exhibit E - Map,