Voluntary - 43 Cfr 3809 Plan Of Operations Form - United States Department Of The Interior

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Voluntary – 43 CFR 3809 Plan of Operations Form
United States Department of the Interior
BUREAU OF LAND MANAGEMENT
Royal Gorge Field Office
3028 East Main Street
Cañon City, Colorado 81212
Section 1: General Information
Pursuant to 43 CFR 3809.401(b)(1).
This form is designed to streamline the required information for a Plan of Operations with the BLM (43 CFR 3809.400)
and to parallel the Colorado Division of Reclamation and Mine Safety (CDRMS) mining permit applications in hopes of
streamlining the paperwork. Plans of Operation will most likely be subject to the CRDMS 110 or 112 permits. The 112
application encompasses more details of the operation and was chosen as a model for this BLM voluntary form. The
applicant should be able to copy and paste similar information into each application, as well as each Exhibit in its
entirety. CDRMS requirements and regulations can be found at
1. General Information
Applicant/Operator or company name:
Operation name (pit, mine, or site name):
Permitted acreage (new or existing site):
acres
Change in acreage (+)
acres
Total Acreage in Permit Area
acres
2. Type of mining operation:
Surface
Underground
In-situ
3. General Description: (local roads, nearest towns, landmarks, etc.)
Will this operation use designated chemicals, result in, or presently have acid mine drainage?
Yes
No
4. Operator Information
Operator Name:
Mailing Address:
City:
State:
ZipCode:
Phone #:
Alternate Phone #:
Operator Tax Payer Identification Number:
Page 1 of 36

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