PERMFILE102333

• Permit No: M1981286
• IBM Index Class Name: Permit File
• Doc Date: 12/1/1981
• Doc Name: LIMITED IMPACT 110 AND SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

'' • SPECT.LL l~l III'I9IIII~~I III_ZT •
~, -
• .~94r.:c~rio:r yo?~Y
State of Colorado ~a~~°{~1~~~~ +pplicatioa for :Yining and
Department of 'natural Resources Reclamation ?emit, pursuant
:-*T`cr D La.`1D iEC'.1L`*~TICV 302,RD to C3S 1473, 34-32-101, et seq
1313 Sherman Street, Roam 423 [)[ ~ 1 1981
Deaver, CO 80203 [phone] `b~- 2 ~ G
The Following explanaticas coo~l~i~~~;~p@etiaa~ic~tions (110's) and Soecial {Ten-
Day Processing)(111's) applications. Ia the interests of efficient processing, please
chec~i the appropriate box to indicate which type of application you are applying for
hers. 111 permits map be issued only wader special circumstances. 3e sure ;row are
eli3lble.
U LL3I:'~ L`*?ACT OPERATIONS must disturb LESS T3r1N ten acres (including all
toads, stockpile areas and nay other surface facilities) over the life of
the sine, and must extract T. ;S5 THA.Y 70,000 tons of ai.neral, overburden or
combination thereof per calendar year. If the affected area is same fraction
cater than nine acres, be sure VOT to round this figure cut to tea acres in
the narratives or elsewhere.
i-f S9OCL•1L (TF.:.`I-D.1Y PROCES5~1G) operations mast disturb Ls.SS T?.~1.Y tea acres
LJ (~cludiag all toads, stockpile areas and nay ocher surface facilities),
and can ONLY be obtataed where a federal, state, county, tit?, tows or
special district contract calls for var!c to be ea~eacad vieisia a SPEC iCALLY
SHORT TT`1E.
(Type or Print Clearh)
1. Vane of operation I Thomas Gravel Pit N4 "
(Pit, mLze or sits name)
2. Vame of applicant/operator W d C u Colorado
(;lame to be used ca perait)
3. address and ohoae number of ~ 915 10th Street
local of_'ices Greeley, Colorado E0631 Phone: [phone]
+. +ddtess and ohoae number of S me as above.
;eneral o=faces
5. Vame and phone cumber of person County Engineer
staff members should contact Phone: [phone]
6, ~~c.-car(s) of record of af.ected~ad ~ Robert Thomas
(SL'r'aC3 aYe3)(I~7nre C7aA2, 1st below)
". Ovr:er(s) of substance to 'oe sued b
(i. score ehaa Z, list below) -
3. Source of legal right eo eater
(T.ndicate .-hat croe of proof is. ~
See Exhibit G
included is E.sBIHIT v - Lease, i
deed, notar'r.ed lettzr, etc.)
4. Type of sine a substance to be
tuned (Speci ? underground, strip,
0 en Pit - Sand and Gravel.
open pit, etc. S substance(s) co
be sued)
I0. General location S elevation
(`Sil
S di
i
E
t Elev. 5050
- 2 miles west and one mile south of Keota, Col<
ras neares
os
rect
on
town s approx'-mate site elevation) (See attached Vicinity Map - Exhibit J)
II. Ccnnt? Yield County, Colorado
iC. icreage of affected lands
(Tote surface acreage to be 4
:=eluded in per._ic)

9.7 Acres.
13. _apnlicatian fee (Sec applicable
3C;i•. eo detersi._-te amount) i Not 'Appl icable.
_~. ?recant Land use (_.e., agri- ~ Aericulture.
cultural, i~dustt:.al, _tc.) ~
~.
_~. 2ropased future Iand use ~ Aericulture
(Goal of teclamaticn) j
(werj