PERMFILE69486

• Permit No: M1979070
• IBM Index Class Name: Permit File
• Doc Date: 4/21/1979
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

a ItP:C_ULA_R (112) PhFMIT AI'!'LICA'1'ION PO_RPI ~ - -- -
.. ~~•_~~~® IIIIIIIIIIIIIIIIIII
S'1,1~1'h: Oh' COLOItAIiU ~~;._ yi ~--- A ss9 inl; and
Paned Land Retlaniatlon I4oard Ite.cl.vuaClon Permi[, Pursu:,nt
Uepar[ment of PJa[ural Resources t~,.~; ~ ~ ~~~)~~I co C.It.S. 1773, 34-32-101 et _;,~~;
1313 Sherman SCrcet, Foom 723
llenver, CU 80203 ,,,,
arc:, ,;;,~,.;,.~:;s s-cTtcrl _
,. ~ ~ .. ~,. ~-,' RF~~~ gees ~ -
_ 'fYVECOit~litiiPljh7'I`'tC'I:"E`:}t127,Y ~7~e //. %y- °ID
1. Name of opcratEoiis Rossum Pit _

(Pit, mice, or site name) _
2. Name of applicant/operator E.A. ROSSUm ___ _

(Name [o be used on permit) _
3. Address and phone number of 4524 W_Eisenhower Blvd.

_
local offices - -_ - _ ___
Loveland, CO 80537 [phone]

4.
Address and phone number -
Sam as No_ 3 ahnvP
of general offices
5. Name and phone number o[ person E. A. ROSSUm [phone]

- staff members should contact
~ KPrk (~n.a) fifi7-7fi37
6. Parent Corporation, iC any A_
(Licludr_ name 6 address)
7. Owner(s) nC record of affected .E..Aa~OSS_~m -
land (surface area) d594 ~. Ficanhnwp~BlYd~ -
(1f more thin 2, list in Exhib.ie P) Loveland CO 80537 X3031 669-3764_
8. Owner(s) of substance Co be mined
E
P)
h
2
li
i
hibi
E
Same as No. 1~bQVe
n
more t
an
,
st
x
t
(I _
9. Source of legal right to enter Deed
-
(lndicatc what type of proof is
included in Exhibit 0 -lease, deed, --
__ ____
notarized letter, etc.)
10. Type oC mine 6 sub.^,Cance to be mined ~erl~lt_f0Y'_QrdVel extraction
-
(Specify nndorground, strip, open pit,
mi
d)
d
b
b
t
(
) t --
-----------
----
e[c. an
su
s
ance
o
e
ne
s -
---
11. General location & elevation (miles Tw_o _miles west of Loveland on_State Highway 34.
b direction from nearest tow,t s
im
ite
lev
tion)
t Approximate Elevation - 5,030 (USGS)
-- -
----
-
approx
a
e s
e
a -
-
l2. Councy Larimer
13. Acreage of affected lands
(Total surface acreage Co be
2]_.25 acres or 22~r~s
included In permit) I
-- -- -
iv. - - -
Application fee (See Fule 2 to
determine amount) --
~ )
g380.DQ----- (~`-~--- --- -
15. Presen[ land us
l A r1CUltUrdl
--
, etc.)
(i.e., agricultural., industria
1G.
17.

18. Surrounding land use:
Proposal fncurc land n.o

(Goal ul rcclvnation)
Other miuin;^, pe[miCS L opera[ions Agricultural and Residential
Recrea 1 na
t~Q1------ ----- --

None
-- -- --
in Colorado (See Rule 2 for guidance) -
19. 1'hc l:,nds hcrnin d„ not affect any of
[hc land, dr.•ccr~ib^_d .in Section
1. SG(9), (SpaciCy aCCirmation) - The lands_herei_n_do not affect any of_the___
lands descr' e 1 Section 1.56(9)
SlgndtUre~~~_ ___

G ~,2v~r ~ec,P~i ~~id~
sl~~ ~ y .