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<br />~IMITED IMPACT (110) and
<br />' SPECIAL TEN-DAY (111) PERMIT
<br />APPLICATION FORM
<br />.. ~._ `.~~1 w
<br />State of Colorado
<br />Department of Natural Resources D"EC 2.~ I~i~:.•-• ~~__•
<br />MINED LAND RECLAMATION BOARD '
<br />1313 Sherman Street, Room 723 RECLAMA-fI01V~SECtION
<br />Denver, co So2o3 (303) 839-3567 Colo. Dept. of Natural Resources
<br />III IIIIIIIIIIIIIIII
<br />sss
<br />_Applicatlon for Mining and
<br />Reclamation Permit, pursuant
<br />to CRS 1973, 34-32-101, et seq
<br />-~f~ - I ~ ~I _ __' .
<br />The following explanations cover Limited Impact applications (110s) and Special (Ten-,.
<br />Day Processing)(Ills) applications. 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 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 same fraction greater than nine acres, be sure NOT to round this. Y
<br />figure out to ten acres in the narratives or elsewhere. ,~~.
<br />SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres
<br />(including all roads, stockpile areas and any other surface facilities), ~"~
<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 T
<br />A
<br />YDE2
<br /> .
<br />.
<br /> (Pit, mine or site name)
<br />
<br />2. Name of applicant/operator ;,;,,,
<br />~ n~//~/T V _
<br /> (Name to be used on permit)
<br /> . _ . _ .. .., .t,::
<br />3. Address and phone number of ~~7c7 r~/-r,'//2 ~/ Q % C~O~O. is ~P//I/~ '^~
<br /> local offices
<br />' -
<br />0
<br />4 - : ~ x'74
<br />~
<br />9
<br />4. Address and phone number of /
<br />,7
<br />/
<br />a~ F. I .. f~ ~ tn(lJ. '17A~/7//1/~ S, C' ~-c
<br /> general offices ._..
<br /> ~~-,~--~/a _
<br />5. Name and phone number of person . /v/~X ~ - ~n / /~ // - -
<br /> staff members should contact
<br />
<br />6. Owner(s) of record of affected _
<br />-
<br />~
<br /> land (surface area) (If more (~ / P j ]
<br />"
<br /> than 2, list below)
<br />7. Owner(s) of substance to be mined c57 ~ X.~ ~ .. -,
<br />
<br /> (If more than 2, list below)
<br />
<br />8. Source of legal right ~to enter'' """"""'" "" ' ' "~°''•
<br /> (Indicate what type of proof is 4 ~X '~4""~
<br /> included in EXHIBIT G - lease, ~,,,J.,.~, ,. ~, '
<br /> deed, notarized letter, etc...) _„ ,. .~ , , ""-"" ,. ,,,,,,;
<br />9. Type of mine b substance to be se:
<br />mined (Specify underground, strip, ~ ~ .; ~~ •~ ~/+`~~'..,~;~
<br />P,F/1~ /~/7-` / / % R_ t /?A '
<br /> open pit, etc. b substance(s) to ~
<br /> be mined) h::_a"!mq.. ,:_::.,.;
<br />10. General location s elevation '~ "~' ~"~ ' '"'~ ~~ „,~,,..,.,_.._._... _ ,,,.. f.......,., re:.s a.~~i:!~figt
<br /> (Miles s direction_from
<br />nearest.;, qF /,%G/%/C.D G P D ~ '"~-
<br /> _
<br />town 6 approximate site eleve-•
<br />'~ -
<br />- //~.p]~, T~y ~/ --~+
<br />-../~
<br />~/~%T-~ ' _
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<br /> t ion) -
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<br />LV/ Y .
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<br />l l . County , ,,. ,-.~. 4.. -... .~- yy ~:.
<br />
<br /> ^
<br />12. Acreage of affected lands ~H/S /'UOULD ~~P~/VD O/V ,9GiTS
<br /> (Total surface acreage to be.~~;.~;,, ,~ ,, .,. ~: _. .. ~, ~ ~ _
<br />~ ^ °~~
<br /> Included in ennit (J
<br />13. Application fee .(See .appl icable,_. -,~aS °-° ~~US ~~0. ~/OL'K~
<br /> RULE to determine amount) / / ~ / T ~/ F
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