PERMFILE120500

• Permit No: M1988101
• IBM Index Class Name: Permit File
• Doc Date: 10/6/1988
• Doc Name: LIMITED IMPACT 110 & SPECIAL 10-DAY 111 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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~'` LIXITED INPACT (SIO) and n lOi~
SPECIAL TEN-DAY (111) PERMIT O L'T U 198
AFPLI CATION FORw
i~!h'eD LAtJJ
State of Colorado 7~mRr~2c~Ltibn14`.dtCD'..tlii}t~!tind
Department of Natural Resources Reclamation Permit, pursuant
MINED LAND RECLAMATION BOARD AND DIVISION to 39-32-101, CRS 1973,
I3I3 Sherran Street, Room 423 as amended
Denver, CO 80203 [phone]
m-~~- i~l
The following explanations Grover Linited Impact applications (lI0's) and Special (Ten-
Day Processing - II1's) applications. In the interest of efficient processing,
please cheat the appropriate box to indicate which tupe of application you are applying
for here. I11 permits may be issued only under special circumstances. Be sure yov
are eligible.
~MITED IMPACT OPERATIONS must disturb Less than ten acres (including all roads,
stockpile areas and any other surface facilities) over the life of the nine, and
must extract LESS TNAt1 70,000 tons of mineral, overburden or combination thereof
per calendar year. If the affected area is sore fraction greater than nine acres,
be sure NOS to round this figure up to ten acres in the narratives or elsewhere.
[] sPECIRL (ten-dau processing) cxrations are any sand, gravel, or quarry agcrecates
operations which are to be operated for the sole purpose of cbtairing rate-ial.s
for h_'ghway, road, utilitu, or similar-toe construction under a Federal, State,
county, city, town, or special district^ontract where the cen~ract cans for c.•nrk
to be corr~nced within a specifically short time and which will affect ten acres
or less (includino all roads, stockpile areas, and any ot'~er surface facilit=es).
INSTRUCTION: This application and all accompanying raterials as outlined below must
be s;ibrdtted ir. duplicate. For further ouidance and irfcrmati.en for
Limited In._cact Cperaticns, see RUL-; 3 and far Special Perruts, see RJLc 4.
(Tupe or Print Clearly)
1. Na:re of operation
(Pit, one or site nary) Fondis Pit
2. Name of applicant/operator
(Name to be used on permit) Elbert County
3. Address and ahone nc.:rber of p.0. Box 597
iCCa1 offices Kiowa, CO 80117 621-2348
4. Address and phone nurber of
oeneral offices Same as above
5. Name and phone nc.-ber e_° person. Rick U11om, Quality Control Manager
staff .-e.:be-s shoed contact Road and Bridge Department 621-2348