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.. <br />State of Colorado Application for Mining and <br />Dzpar~ent of :+atural Resources a~ ~ L~ ~y81 Reclamation Perait, pursuant <br />'•fI'='D 1?_.`~ REC: ~_'_,TIO`+ 87: 3D to ~'2S 1973, 34-32-101, eC sec <br />Oanver, CO 30203 (303) 639-3fo7 fV11t~ED LG.ND hECL~it~A,TION 1_;IC U~ ~} - 1$,~ <br />'a~rT4'S ~JG'r ~ i~.,1~.r~1 ~4"a'~.6ec c <br />The following e:cpl2naticns cover Limited Impact applications (110'x) and Special (Tzn- <br />Day Processing)(111's) applications. In the interasts of efficient processing, please <br />chec'.c the appropriate box to indicate ;which type of application you are applying for <br />here. 111 permits may be issued only under special circumstanc•=s. Be sure you a._ <br />eligible. <br />!J LL3ITED L`~?ACT OPERATIONS must disturb LESS THAN ten 'acres (including all <br />LJ roads, stockpile areas and any other surface facilities) ovzr the life of <br />the wine, and must extract LESS TH?.:I 70,000 tons of nineral, overburden or <br />combination thereof per calendar year. If the affected area is some fraction <br />greater than nine acres, be sure NOT to round this figure out to ten acres is <br />the narratives or elsewhere. <br />S2ECLiL (TAI-DAY PROCESSING) operatiocs must disturb LESS TH~Pi tea acres <br />(including all roads, stockpile areas and any other surface facilities), <br />and can 0*ILY be obtained where a federal, state, county, city, town or <br />special district contract calls for work to be cotmmenced within a SPECIFIC?1.LY <br />SHORT TL~fE. <br />(T;-pe or Print Clearly) <br />1. Nacre of operation I ~~ D~:' ::i: e <br /> (Pit, mine or site name) <br />2. Yame of applicant/operator _'u: ~_c'. ~ ~o. <br /> (Name to be used or. permit) <br />3. Address and phone number of ~ ?''~ ;c'.._ c~.4 l, : <br /> local offices __ ar~;~, ';C 31;~~ <br />r~~.~u7 <br />('03) ~~'~ ~ <br />w. Address and phone number of , 1~'_1 ~'_-_~ ::'c, <br /> general offices <br />5. N2~e and phone number of person I r- '; (^^>, i~ " <br /> staff members should contact __ - <br />h, Owner(s) of record of affec:ed;3nd I -:'~.~ ^"-,gaol i:~ld '~;•~~~'" ~'?, <br /> (surface ar~)(If more t~.an2, list below) <br />i. ar:er(s) oz substance to be mined <br />~ I Great Gucn:lol Gold _"_:~_.: ~ Oo. <br /> If more than 2, list below) <br />3. Sourca of legal right to enter <br />(Indicate gnat type of proof is <br />;. airs of 5ro ~ t-.r <br /> included is c%'iiI3IT G -lease, <br />deed, notarized lettar, etc.) <br />9. Type of t•.inz & substance to be ~ <br />mined (Specify underground, strip, <br />' c ~ _*: c^. <br />^au.^: <br /> open pit, etc. 6 substance(s) to <br />be mined) <br />l0. 'gene-nl location & =_levation <br />f _ <br />--u -- .c-, ,~' oi' <br />~: - C,i <br /> rom nearest <br />(?files 5 direction <br />towm 5 approximate site elevation) _ ._; <br />11. Connty 1,3 ;'-,~a <br />l2. P_creage of af~ected lends <br />(Total surface acreage to be <br />included in permit) <br /> <br />" ,~c. _ (10 ._' <br /> <br />e:, ) <br />13. application fae (See applicable <br />~ZE to deteraine amount) <br />v? ~25,i~ <br />1~. :resent land use (i.e., agri- ildli~c <br /> cultural, industria'_, etc.) <br />'_J. Prenosed future land use I .-lcllife <br /> (Goal of reclamation) <br />/,...~rl <br />