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' •S?~i ~ III III \~~II~~~~~II~ ~T' • <br /> <br />S CdLe CL CJICrddO ~_ <br /> <br />~ <br />.iDD1iC3ti7n <br />~Or :~i ..l ay 36d <br />~e7dr LxenL CL ~id~1r31 ~2SOnr CeS ~ ~ '1982 <br />I~QI`. <br />I 7.eCl aLla ClDa ?erxiL, 7LLr5 udn[ <br />'~?':~ _+.:IDZ'C:.;:"_~_ICV 3C.1?*J co C3S 1973, ?i-32-101, et se; <br />'_313 Sce=_.an StreeL <br />loam 423 <br />, <br />waver, CO d02C3 (303) 539-350; MINED LAND RECLA~IP.TION <br /> Ee'e 9a;' 6l N~tyrol Dpcn~~rppc ~~-.Z..3 e k-.zz..3~ -_ - <br />lae follocriag esnlaaaeicns cover 'ced Lzoacc apalicac'_ons (110';) and Soecial (Ten- <br />Cay ?rocessing)<111's) aopLicatioas. L~ the intarests of ef'icie7t processing, ?lease <br />check Lhe appronriaca bax co indicate :ahich type of appLicarien yeu are applying for <br />hers. I11 persits xay be_ssued only under special circ•.rastances. 3e sure you are <br />ell5ible, ' <br />~~j ~~*"'~~' _`*?3CT OP~?3TIC:TS ausr disturS *_HSS P3d.`T tan acres (includ~g all <br />"-" =pads, stoc!cpile areas and nay ocher sur`_ace cacilities)-over Lae life of <br />c3e acne, and mist ezt=act LLSS :a~::T 10,000 [ons of x'_neral, overburdza or <br />c.^~iaatioa chereod per calendar near. If the affected a: ea is sore traction <br />eater than nine aces, be sure `IOT ca round rFis figure cur *_D can acres La <br />r3e aar_ativas or a15e~here. , <br />~ j 32°_CL4? (T=T-Oa° ?RCCF,SS=`TG) operations must distuzS T~.SS T_v.~:d can acres <br />LJ ('~c7,ud1_g all roads, stoc!r~ile areas and nay ocher surxace [acilicies), <br />and can ONLZ be obtained there a federal, state, county, city, Lovn or <br />special diatr'_cL contract calls for wr!c to be coesneaced •rlchi7 a 52°-C~IC.1:.I.Y <br />SHORT TT.`SE. <br />(T.ypn or 2rinc C1ear1R) <br /> <br />_. <br />`Tate of operatics <br />J .~ ~ y <br />/ <br /> (?it, ai:.e or site Laze) <br /> <br />_. <br />:ia:.e o? appL' caatiDparacor I // <br />/7 ~~ <br />~- ~/~ ~ <br />~ ~ Y ,J <br />/ ~ / <br />/,~~ ~~~~ <br /> (`,'axe to Se wed on perxit) <br />f <br />~ <br />3. address and pho^e amber of ~ ~Q, ~ C'' X ~~? O - /t ~ ~ /%C)f /.~ , l ~ r~ <br /> Local offices ~,('//a i - ~~' - 3~.7 -,~ y ~- ~/ /9Y <br />+. address and phcae amber of <br /> 3eaeral office <br />5. `Tare and phone auaber of person <br /> aL3if .~.e=02r9 3hOnl.~ COLSLdCt ~ ,'71~~ •7 ~ ./~G <br />0 <br />/ <br />7 0 <br />~ <br />Q / <br />i/~ <br />h <br />/ <br />7 <br /> <br />o. <br />~.-er(s) of record of affecredL3ad ~ <br />/~/ <br />~ <br />~ ~~ <br />/ )~ <br />, <br />,~/ <br />` <br />, <br />C~ <br />T <br />/f' <br />/l <br />Y / <br />.SC%/~~~ <br /> (SL:rt 3C3 a: ea;(I_ao re CG~n 2, Lsr':elOJ) <br />". 0:.::er(;) o: substance to be a17ed i 5 ~ /~~ <br /> __ r10re [337 ~, 119E Selcv) <br />S. <br />(r, <br />S6u6 ea?e ;~aclrnerof 7rOOf~19 ~ ~i/ n ~~ ,~ I z ~ l~ ~ ~ r~~ ~ <br /> =.cl::d:d __ ~T3~3~i G - Laase, ~ <br />deed, aocar'~ed Tartar, etc.) I <br />~~~ <br />9. Pre of ai.-e a substance to be <br /> <br />~aed CSoeci_? underground, scra, j l, <br />/f /~E /L / ~T <br /> open plc, aLC. 5 substance(s) a <br /> ce ,.red) ~ ~ !! ~~ ~ L <br />LC. ;anera'_ location b elevation I /O ~.9~ ~- `S ~ nF 9 l <br />~ ~,~ f~ <br />6 <br />` !/ <br /> <br />("fil <br />S i' <br />' <br />~ _ <br />. <br />/ h <br />!. <br /> es <br />_r=c[ <br />_ca <br />[~ nearest ~ <br />~ <br /> LC4~ ;a 3Da^_9x"'=aCe SitL e~ePdLi On) ,Q ~ <br />n ~ <br />/ -7`- <br /> J <br />(' <br />/~ <br />T_~. Cre3ge CL acfacted Ldnd3 <br /> (POt1~ SL'rf 3C9 aC_eaLfe La be <br /> Ac <br />_~. nODiiCSLiJn 'ee (S2e a7D11-3o1a <br />' <br /> ]t' - <br />. rJ CeLer1':e 3xOn71C) / ^ <br />I ~ ~~~ ~/ `'~C, <br /> <br />_ <br />__e52nL Laad C52 (_.e., dgri- 1 <br />I /!/L' /r F <br /> A <br />_~. ?rC705e. _...-._ lanC 352 i // /) // G _ <br /> f Caal of rac'_axatioa) ', i /7 / r . a -~- / n n ~' r' <br />~ ~~~., i6 (.:vet) <br />_ .. ~ •.rsi~tt~i~~:.::r~=,1.~-~ l~d.s".'s:: ~,r ,:: iz4~lr ' .+t~`__ <br />