PERMFILE61789

• Permit No: M1994114
• IBM Index Class Name: Permit File
• Doc Date: 10/26/1994
• Doc Name: LIMITED IMPACT OPERATION 110 RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

~~ ~~~~~II~~~~~~ ~~~ ~ RECEIVED
-4-
OCT 26 1994
LIMITED IMPACT OPERATION (110)
RECLAMATION PERMIT
APPLICATION FORM
plvision of Mlnelals & Geo ogy
CHECK ONE: 1, New Application (Rule 1.4) Conversion Application (Rule 1.11)
Permit # M R5 Qdp (provide for conversions of existing permits)
The application for a Limited Impact Designated Mining Operation Reclamation Pextnit contains
three major parts: (1) the application form; (2) Exhibits A-J, any required sections of
Exhibit S and Geotechnical Stability Exhibit, as required by the Office, and outlined in
Rules 6.1, 6.2, 6.3, 6.a .19 and 6.5; and (3) the application fee. when you submit your
application, be sure to include one (1) sioned and notarized original and one (1) copy of the
application form, two !2) copies of Exhibits A-J, appropriate sections of 6.4.19 Exhibit S
and 6.5 (Geotechnical Stability Exhibit), as required, and a check for the application fee
described under (4) below. Exhibits should not be bound or in a 3-ring binder; maps should
be folded to 8 1/2^ X 11" or 8 1/2" X 14" size. To expedite processing, please provide the
information in the format and order described in this form.
C C 6 C CCC ! 6C C CO~C-000C C
GENERAL OPERATION INFORMATION ~~/' /7'//~
Type or print clearly, in the space provided, all information described below.
1. Applicant/operator name: Nordvke Construction Inc.
1.1 Type of organization (corporation, partnership, etc.) : CQ~Qorat i nn
1.2 I.R.S. Tax ID No.rJYS$N'
2. Operation name (pit, mine or site name): NOrdyke Pit #2
3. Permitted acreage (new or existing site): 9.70 +/- permitted acres
3.1 Change in acreage (+ or -) acres
4. Fees:
4.1 New Application 5875.00 application fee
4.2 Conversion Fee (from 110d to 110 675 00 conversion fee (Rule 1.11.2(2))
5. Primary commoditie (s) to be mined: g r d v e 1
6. Name of owner to the surface of affected land: Arthur L & Barbara M NordykP
~. Name of owner to the subsurface rights of affected land: A r t h u( L& B A r b a r a M N o r d y k e
e. Type of mining operation: ,~ Surface _ Qnderground _ In-situ
9. Location information. The center of the area where the majority of mining will
occur lies in: Custer
CODNTY:
PRINCIPAL MERIDIAN (check one): X 6th (Colorado) _ 10th (New Mexico) _ U[e
SECTION (write number): S 5
TOWNSHIP (write number and check direction): T 2~ _ North X South
RANGE (write number and check direction): R _T'~ _ Eset X west
QUARTER SECTION (check one): _ NE _ NW _ S& ~ SW
QUARTER/QUARTER SECTION (check one): _ NE ~ NW _ SE _ Sw
GENERAL DESCRIPTION: (miles and direction from nearest town a e
elevation) located 11 miles South ast of W ~trliffP. Colorado
elevation 7888 feet
10. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name:; 83~aar~ M_NnrAyka Title: Owner
Company Name: Nnrdyka fnnctriirr;pn i i0
Street: 302 Main StrPat