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7/78 <br /> LIMITED IMPACT (110) and 999 <br /> SPECIAL TEN-DAY (111) PER111T <br /> APPLICATIOid FORM <br /> ~ ~ <br />State of Colorado ~" ~ <br />~ ~~ ~ ~ Application for Mining and <br />Department of Natural Resources Reclamation Permit, pursuant <br />MINED LAND RECLAMATION BOARD 5 t4~ "f,y 19SO to CRS 1973, 34-32-101, et seq <br />1313 Sherman Street, R oom 723 <br />D Bozo ( o) 8 6 <br />cover, CO 3 3 3 39-35 7 fNl~!EU LAND AECLnMA710N <br />The following explanations cover Limited Impact applications (110s) and Special (Ten- <br />Day Processing)(llls) applications. In the interests of efficient processing, please <br />chec!{ the appropriate box to indicate which type of application you are applying for here.' <br />LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including <br />all roads, stockpile areas and any other surface facilities) over the <br />life of the mine, and must extract LESS THAN 70,000 tons of mineral, <br />overburden or combination thereof per calendar year. If the affected ~~ <br />area is some fraction greater than nine acres, be sure NOT to round this <br />figure out to ten acres in the narratives or elsewhere. /' `~ <br />SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acrest_1.,o <br />(including all roads, stockpile areas and any other surface facilities), U <br />and can ONLY be obtained where a federal, state, county, city, town or <br />special district contract calls for work to be commenced within a <br />SPECIFICALLY;SHORT TIME. <br />(Type or Print Clearly) <br />1. Name of operation 0?BANtdO:~ <br /> <br /> (Pit, mine or site name) <br />z. Name of applicant/operator Colorado Division of Highways <br /> <br /> (Name to be used on permit) <br /> Address and phone number of P.O.Box 15:1 <br /> <br /> local offices <br /> Durango,Colo.81301 259-1241 <br />4. Address and phone number of 4340 East Louisiana <br /> <br /> general offices <br /> Denver Colo. 80222 757-9224 <br />5• Name and phone number of person Kenneth Geisert <br /> staff members should contact <br /> 757-9224 <br />6. Owner(s) of record of affected <br /> land (surface area) (If more Douglas O'Bannon <br /> than 2, list below) <br />7. Ow.ner(s) of substance to be mined <br /> h <br />2 <br />li <br />b <br />l Dou las 0'-annon <br /> (If more t <br />an <br />, <br />st <br />ow) <br />e <br />8. Source of legal right to enter <br /> <br />(Indicate what type of proof is _ <br />Option to buy material <br /> included in EXH161T G - lease, <br /> deed, notarized letter, etc.) <br />9• Type of mine b substance to be <br /> nJined (Specify underground, strip, Open pit=-Sand and gravel <br /> open pit, etc. b substance(s) to <br /> be mined) <br />'0. General location E elevation <br /> (i1iles E direction from nearest 9.5 miles west of Del Norte <br /> tovrn approximate site eleva- . <br /> lion) 8080 ft. Elevation <br />11. _ <br />County P.io Grande County <br />12. Acreage of affected lands <br /> (Total surface acreage to be <br /> included in remnit 9.93 Acres <br />13. Application fee (See.applicahle <br /> RULE to determine arrount) $125.00 <br /> <br /> <br />(over) <br />