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" COLORADO <br /> _ � Division of Reclamation, '�. <br /> Mining and Safety �.������ � <br /> Department of Natural Resources � �On� <br /> �,PR 1 c, <br /> Date: �;i�Jt��1�N a� R���.A�A�tON, <br /> NIItJ1N��'�l°Fs TY-IV�EFw1�RA�_� <br /> RE: Need for Sta.te Reclamation Permit: "Is It Mining?" <br /> Name: R.i C H/� �l ,D f�A/14 Y <br /> Street <br /> Address: 523 �X PED I T 2'oN ,0/I. .�eUf/-/ /�e/Ih' c c. �'//.f'f'� <br /> Telephone: ( 7i y ) �y�.2 S-2� Mobile: ( ) <br /> Email <br /> Address: 7y�5rCt,/�z71'��co/ycAST. N,� T <br /> Errcbsed are p�rtin�at sec.�tior� of the Cobr�cio Minea �.,ard �c�ion Board <br /> (B�ard) Ruka `o�vcrni�ng a�cttivytias that cb n�ot requir+e � rockumtiun pern�t. Ta <br /> d�tenr�ui� if you ncad a p�R far ybu �opo�cd aetivity, � choek Ruk l.2 which <br /> �acr�es ad�iv�ikics the 8�a�ou�rd b�es �4it�cb not roq�uirt+e �drt�t cec4mtuki�n pami�a, <br /> If y�u fmd a� ma�h, �u ran �ac�ed b��ecM rnn �ouer intcxp�+at�tian of thc nrb, buut at <br /> your own ri�ic. If ynu a�c u�ce�t�ian law t� Ruk n�Y �P�Y to }�a�v a�tiv"sy5 you <br /> �hould anawer tl� li�t vf qu�tiwo�rs bcbw with as much dc�,afi �s pa�bk. P� fe�cl <br /> fr�to us�a�dditicmat p�r, m�,a�d�t�s�chme�s u>exp�in y�wr�ra�• <br /> �'ks�se iecluKk in y�r�u�trtt�rm+�►�etian nmq�t a�rs ta the iolbwi�r� . <br /> l. Pk.asc providc the k�l bcatio�n of thc pro�osed projact and swbn� a �ite ma� <br /> tl� cka�rly dcli�t�s t1� krcaation of tb�e pmpnse+d cxtr�lian site �d tl� bc�ti� <br /> of tht�t city,town,a�rd�ow�ty bc$tan na►n�. <br /> �: T�►�Yf�►s Rr►�: PM <br /> NANNa Ps7 �1 <br /> M - 2aoy.- oy� <br /> 4r NAD 27 X UTM Y UTM <br /> GrS <br /> � Ni M� dr <br /> ae�rest te.v�id�y: Cw�ty: <br /> o�_�9to <br /> ��' � -� <br /> � �=; o <br /> „� c <br /> 1313 Sherman Street,Room 215, Denver,CO 8U203 P 303.866.3567 F 303.832.8106 -�__ ,_ ; .� _ � * *� <br /> Jared 5. Polis,Governor � Dan Gibbs,Executive Director � Virginia Brannon,Director �:1876,=� <br />