PERMFILE65745

• Permit No: M1988057
• IBM Index Class Name: Permit File
• Doc Date: 5/23/1988
• Doc Name: LIMITED IMPACT OPERATION 110 APPLICATION FORM
• Media Type: D
• Archive: No

,:. ,..~' ~ iii iiiiiiiiiiiiiiii •
f~AY 23 1988 ~
LIMITED IMPACT OPERATION (110) ~ ~~~
APPLICATION FORM l~~l(VtD (.J~(~D 5
CRECLAPJIATIO~I DIVISIOI~I
This form contains two major parts: (1) General Operation Information and (2) Exhibits
A-G. When you submit your application, be sure to include two si ned copies of the
General Operation Information, two copies of Exhibits A-G, and a~k for the
application fee described under (4) below. To expedite processing, please provide the
informati on i n the format and order descri bed i n this form_ ~-_ ~ ~_ ~~ -~ CK ~~ _ S ~
---=---=---------------------------------------------------------------------------------
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GENERAL OPERATION INFORMATION ~ 75 ~'v
Type or print clearly, in the space provided, all information described below.
1. Applicant/Operator Name: !lobert S. Scott
2. Operation Name (Pit, mine or site name): Canvon Sand ?~ ;raval
3. Application type: Limited Impact Operation (110).
4. Application Fee for Permitted Acreage*
(E10 x (affected acres) + 525.00).*
Note permitted acreage and application fee and
attach a check for this amount when you file.
!;-5 permitted acres.
:{i75.00 application fee.
5. Substance(s) to be mined (e. g., gold/silver/gravel): Gravel/w asharl Sand
6. Owners(s) of Substance to be Mined
(check applicable box(s)): ~] Private ^ State ^ Federal ^ Indian
7. Owner(s) of Record of Affected Land
(check applicable box(s)): ~ Private ^ State ^ Federal ^ Indian
8. Type of Mining Operation
(check applicable box(s)1: ® Surface ^ Underground ^ In-situ
9. Location Information. The center of the area where the majority of mining will
occur lies in:
COUNTY: Archuleta
PRINCIPLE MERIDIAN check one ^c 5th (Colorado) ^ 10th (tJew Ptexico)^ Ute
TOWNSHIP (write number and check direction): T 35 ® IJorth ^ South
RANGE (write number and check direction): R ~ ^ East L~l West
SECTION (write number): . S 29
QUARTER SECTION (check one): ^~- ^ NW ® SE ^ SW
QUARTER/QUARTER SECTION (check one): ^ NE ® NIJ ^ SE ^ SW
GENERAL DESCRIPTION:
(miles and direction 10 miles ~.vPSt . than (~_ 2 milAc
from nearest town and
approximate elevation) on llevil Creek itoad 7.200 feat
* If the operator is a unit of State or county government, an application fee is not
required. A fraction of an acre must be counted as one acre for fee calculation.