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% 6. <br /> bF-co JAN 101986 <br /> DEPARTMENT OF NATURfi RECLAMATION <br /> }r�s; p `pT�y�3 <br /> David H.Getches,Executive Director 999 ...JNED LAND RECL}i�a'A ION <br /> t <br /> 1876 MINED LAND RECLAMAT1011 bFV1S°�I6 "@SOtIfC <br /> DAVID C.SHELTON, Director <br /> Richard D.Lamm <br /> Governor <br /> LIMITED IMPACT (110) AND <br /> SPECIAL TEN-DAY (111) PERMIT <br /> APPLICATION FORM <br /> Application for Mining and Reclamation Permit, pursuant to .R.S. 1973, 34-32-101, <br /> et seg, as amended. �e <br /> qb '00`� C� 20B'7 5- ad zs� <br /> The following explanations cover Limited Impact applications (110's) and Special <br /> (Ten-Day Processing - 111 's) applications. In the interest of efficient processing, <br /> please check the appropriate box to indicate which type of application you are applying <br /> for. 111 permits may be issued only under special circumstances. Be sure you are <br /> eligible. <br /> gI LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all <br /> roads, stockpile areas and any other surface facilities) over the life of the <br /> mine, and must extract LESS THAN 70,000 tons of mineral, overburden or <br /> combination thereof per calendar year. If the affected area is some fraction <br /> greater than nine acres, be sure NOT to round this figure up to ten acres in <br /> the narratives or elsewhere. <br /> SPECIAL (ten-da <br /> y y processing) operations are any sand, grave], or quarry <br /> aggregates operations which are to be operated for the sole purpose of <br /> obtaining materials for highway, road, utility, or similar-type construction <br /> under a Federal , State, county, city, town, or special district contract where <br /> the contract calls for work to be commenced within a specifically short time <br /> and which will affect ten acres or less (including all roads, stockpile areas, <br /> and any other surface facilities) . <br /> INSTRUCTION: This application and all accompanying materials as outlined below must be <br /> submitted in duplicate. For further guidance, and information for Limited <br /> Impact Operations, see Rule 3 and for Special Permits, see Rule 4. <br /> (Type or Print Clearly) <br /> 1 . Name of bperation l3l-A QD s rADT ico cW- I- j'T <br /> (Pit, mine or site name) <br /> 2. Name of Applicant/Operator HARvi-1-3 BX&ojDsr ADT <br /> (Name to be used on permit) <br /> 423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel.(303)866-3567 <br />