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<br />r I._ <br />i <br />x.~' <br />r~.,~,- III III'lllll'IIIIII If41TE <br />_ _ tae SP CI.SL E <br />DPP IMPACT (110) and <br />M-QAY (iT1). PERMIT ~A~I ~ - ~~d~rl~!" <br />,~fAAF. -F(iRM A ~? l ~L_ t .- <br />State of Colorado <br />Department of Natvrai Resources <br />MINED LAND RECLAMATION BOARD <br />1313 Sherman Street, Room 723 <br />Denver, CO 80203 (303) 839-35of <br />~~~~ ~, ~I <br />Applicatior, for Mining and <br />N ~V • 1 979 Reclamation Permit, pursuant <br />co CRS 1973, 3~!-32-i01, ec saG <br />.D LAND RECLAMATION ~-- p <br />Dept. Of Natural Resources f t ~'2 N Q , 7 9- { t <br /> <br />The following explanaCions cover limited impact appl'+cations (ilOs) and Special (Ten- <br />Oay Processing)(Ills) appiicatio s. in the interests of efficient processing, please <br />check the appropriate box to indicate which type of application you are applying for here. <br />_ LIMITED IMPRLT OPERATIONS m st disturb LE55 THAN ten acres (including <br />all roads, stockpile areas nd any other surface facilities) over~the <br />life of the mine, an must xtract LESS THAN 70,000 tons of mtner~i, <br />overburden or eombin~eion t ereof per calendar year. If the affected <br />area is same fraction crest r than nine acres, be sure NOT to round this <br />figure out to ten ac"~es in he narratives or elsewhere. <br />I~ SPECIAL (TEN-QAY PROdE551NG operations must disturb LESS TY.AN tens, acres <br />(including all roads, stock ile areas and any other surface facilities), <br />and can ONLY be obtaihed wh re a federal, state, county, city, town or <br />special district cent;ract c lls for work to be commenced within a <br />SPECIPICALLY SHORT TIME. <br />(Type or~ Print Clearly) <br />Name of operation <br />(Pit, mine or site name) <br />?. Name of applicant/opera*_or <br />(Name to be used on permit) <br />3. Address and phone number of ' <br />local offices <br />Address and phone number o <br />general offices <br />~iAND & GRAVEL, ~ra- <br />1303) <br /> 5• Name and phone number of p9rson r B le Sand d Gravel <br />~ <br /> <br />~1 staff members should contadt _ <br />3470 S. Sherman St., #2, Engiewood,!CA $0110, 761-5910 •: <br /> 6. Owner(s) of record of affe ted <br /> sand (surface area) (if mono <br /> than 2, list below) <br /> 125 <br />c <br /> 7. Owher(s) of substance to ba mined Same as #6 above <br />~ <br /> (If mere than 2, list belovn) 1 <br />i. <br />j <br />( <br />i 8. Source o° legal right to,enRer~ <br /> (Indicate what type of proolF is See Exhibit °E" - Deed ~ I <br /> included in EXHIBIT G - lease, <{ <br /> deed, notarized letter, etc,.) <br /> 9• Type of mine 6 substance to be Open Pit - Dry ~ <br /> mined (Specify undereround„ strip <br /> ooen pit, ecc. v subs Cance(6) Co <br />" be mined} ' <br />A <br /> 10. General location E elevatio Site ~ - 550' , ~~ <br /> ~ <br />(Miles b direction from nee est es <br /> <br />town E approximate site eie~va- , <br />~ tion) <br />. 11. County <br /> 12. Aereace of affected lands <br />k (Total surface acreage to bq -- <br /> included in permit <br /> 13. Application fee {jet applicable <br /> RULE to determine a~hount) 00.00 plus 9 acres at E15.00 an acre) <br /> (over) <br />~~ <br />i <br />:uLtL':::d[MS]!iYYie..•. ...::Jim. J.',ad~x`~.AC4u,F.+`t•i' ; <br />.~: 1. ~u, , <br />~sD.:_, '~71=:Y~NfR~"'i'i"1O1i':•,~ y tb t eye' A .. <br />.8:ar~/a~r '. I x <br /> . <br />y <br />