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" CEI VED <br /> NOV G 1989 <br /> • MINED LARD <br /> LIMITED IMPACT OPERATION (110(2)) RECLAAAATION DIVISION <br /> APPLICATION FORM <br /> The Application for a Limited Impact Operation Reclamation Permit contains three major <br /> parts: (1 ) the Application Form, (2) the Application Exhibits A-F, and (3) the <br /> application fee. when you submit your Application, be sure to include two signed copies <br /> of the Application Form, two copies of Exhibits A-F, and a check for the application fee <br /> described under (4) below. To expedite processing, please provide the information in <br /> the format and order described in this form. _ _` -� --- �1��c <br /> sneesssae:=_a.7sassaaee==77::saeeeeess::=aasa7sa 7sss-- 7 s777ss <br /> GENERAL OPERATION INFORMATION 01q. 112 Z3 <br /> Type or print clearly, in the space provided, all information described below. <br /> l lCwasaCi!7!l7l7ss!!30 OOQa7lia�.CC.-.�-.ss:as3O37ass77C7777:saT�!llp77li!!!7!7a!l1C07 7aAlCpC! <br /> 1 . Applicant/Operator Name: City of Colorado Springs, Dept. of Public Works, <br /> Pikes Peak Highway <br /> 2. Operation Name (Pit, mine or site name): CRYSTAL PIT <br /> 3. Application type: Limited Impact Operation (110). <br /> 4. Application Fee for Permitted Acreage* 9.7 permitted acres. <br /> (SID x (affected acres) + $25.00).* <br /> Note permitted acreage and application fee and <br /> attach a check for this amount when you file. r1a S. Gig application fee. <br /> 5. Substance(s) to be mined (e.g., gold/silver/gravel ): gravel <br /> 6. Owners(s) of Substance to be Mined <br /> (check applicable box(s)): jL Private _ State _ Federal r Indian <br /> 7. Owner(s) of Record of Affected Land <br /> (check applicable box(s)): Private _ State X Federal _ Indian <br /> 8. Type of Mining Operation <br /> (check applicable box(s)): x Surface _ Underground _ In-situ <br /> 9. Location Information. The center of the area where the majority of mining will <br /> occur lies in: <br /> COUNTY: Teller <br /> PRINCIPLE c ec one): L 6t�tJ(Colorado) 10th (New Mexico) Ute <br /> TOWNSHIP (write number and check direc on): T 13 North X South <br /> RANGE (write number and check direction): R = ` East West <br /> SECTION (write number): S 18 <br /> QUARTER SECTION (check one): x-WE - NW SE SW <br /> QUARTER/QUARTER SECTION (check one): X NE NW r SE r SW <br /> GENERAL DESCRIPTION: <br /> (miles and direction 1 mile SW of Green Mountain Falls <br /> from nearest town and <br /> approximate elevation) elevation 9300' <br /> • * If the operator is a unit of State or county government, an application fee is not <br /> required. A fraction of an acre must be counted as one acre for fee calculation. <br />