PERMFILE137701

• Permit No: M1985170
• IBM Index Class Name: Permit File
• Doc Date: 9/3/1985
• Doc Name: Limited Impact 110 and Special Ten-day 111 Permit Application Form
• Media Type: D
• Archive: No

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RECLAMATION DIVISION
LIf4ITED ii•iPAC7 (110 A.iVD
SPECi;;L TEPI-DIY (111) PERi1Il
a.PPLiC:+TiOr; FORf•I
r;ppiication for ~;iining and Reclalaanon Permit, Pursuant to C.R.S. 1873, 3~±-32-101,
e. std, as amended.
Tne follo,ving explanations cover Lilnit=~ Impact applications (110'sj and Special
(Ten-Jay Processing - 111's) applications. In the interest of efficient processing,
please check the appropriate box to indicate which type of application you are applying
for. 111 p2rnits may oe issued only under special circumstances. Be sure you are
eligiol=_.
® LIi~iIT'cD IFIPACT OPER:;TIOIVS must disturb lass than ten acres (incluair.g all
roads, stockpile areas and any other surTace facilities) over the life of the
mine, and must extract LESS THAiV JO,000 tons of mineral, overburden or'
comoination thereof per calendar year. If tine affected area is some fraction
greater than nine acres, oe sure ~U7 to round this figure up to ten acres in
the narratives or 2152where.
SPcCiAL (Len-day processing) operations are any sand, gravel, or quarry
ayuregat2s operations which are to be operated for the sole purpose of
ootaining materials for high~+ay, road, utility, or similar-type construction
under a Federal, State, county, city, town, or special district contract where
the contract calls for work to oe commenced within a specifically Short time
and ,which will affect ten dCreS Or 1255 (including all roads, stockpile dregs,
and any other sur ace facilities).
IiVSTRUCTIO.r: T'nis application and all accomoanyiny materials as outlined below must be
submitted in duplicate. For further guidance, and infornatidn for Limited
impact Operations, see Rule 3 and for Special Permits, see 3ule 4.
(Tyne or Print Clearly)
1. ~lan~e of operation BLM BURNT SHATF PIT, NORTH OF I,OMA
(Pit, nine or site name)
2. I~;arae of ,;ppl icant/operator Division of Highways
(r;a:ae to 02 ,;s2d on permit) State of Colorado
X23 Canter.nial 6uildine. 1313 Sherman Street Denver, Colorado 80203 Tel. [phone]