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<br /> <br /> FS-2700-5 (7/96) <br /> OMB Number 0596-0082 <br />USDA - Forest Service ya. Record no. (1-Z)~b. Region (3.4) ~c. Forest (5-b) <br /> 9 1 9 <br />TERN SPECIAL USE PERMIT 7 70 7 02 1 09 <br /> yd. District (7-8) ~e. USer No.(9. 12) ~f . Kind of Use (13-15) <br />Act of March 4, 1915, as ameMed ~ ~ ~ <br />July 28, 1956 or Ac[ of March 30, 1948 7 04 7 1001 1 533 <br /> fig. State (16-17) ~h. County (18-20)~i. Card no. (21) <br />(Ref. FSM 2710) 9 1 9 <br />Permission is hereby granted to State o4 Colorado. Department of Transportation <br />of Region 3, 222 South Sixth Street, Rm. 317, Grand Junction- CO 81501-2769 , <br />hereinafter called the penni ttee, to use subject to the conditions set out below, the following described <br />lards ar improvements for the period of 10 years from the dale thereof: <br />Approximately 35.00 acres more or less in the South 1/2 of Section 35, Township 42 North, Range 3 Nest, <br />N.M.P.N., as shown on the attached map, Exhibit "A" <br />This permit covers 35.00 acres and is issued for the purpose of: <br />Removal of approx. 600,000 cubic yards of sand 8 aggregate gravel for maintenance 8 construction project <br />essoci ated with Colorado. Highway 149. Tenporary location of a crushing unit, espha l.Lplartt_8 associated __ <br />equipment, 8 gravel stock pile(s) within the permitted area. Maintenance of the existing access road <br />to pit area es maintenance & construction projects occur. No permanent structures will be erected. <br />The maximm disturbed site will not exceed 13 acres. <br />1. Construction or occupancy and use under this permit shall begin within 12 months, and <br />construction, if any, shall be conpleted within N/A months, from the date of the permit. This use <br />shall be actually exercised at least 5 days each year, unless otherwise authorized in <br />writing. <br />2. In consideration for this use, the permittee shall pay to the Forest Service, U.S. Department of <br />Agriculture, the sun of ---------------------- Dollars (S -------------------- ) for the period from <br />--------------------------- 19 _, to ------------------------ 19 --, and thereafter annually on <br />-------'--'--------------------° °---•------- Dollars (S --° °--°-°_------..---.-.-------- ): <br />Provided, however, That the charges for this use shall be readjusted as of, and effective on, the <br />begi Ming of each 5-year period from the due date of the first annual payment in order to place the <br />charges pn a basis commensurate with the value of use authorized by this permit. <br />3. this permit is accepted subject to the conditions set forth herein, and to conditions 20 to <br />37 attached hereto and made a part of this permit. <br />yName of Permittee ~S~ [~u~r of Aut r Officer Date <br />PERM ITTEE ~ Colorado Department C l;~ti L~r~~~^~ /~/~, S(/!f/ <br />of Transportation <br />itle <br />~N a~ Si~~jL~ure Title yDete <br />ISSUING 1~II,3Al N Y1wiAw ~ ~ ~/ II'1 1/l~ <br />