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~ _ <br />`• ~` III IIIIII'll"II ~II L~TED PIPACT A:YD SPECIAL (TEN) ~'/~ `Ir 3GS <br />PE3*SIT~'~gCA'~q."\ J~~ <br />--r <br />ST ~ OF COLORADO Application for ?Lining <br />Ieiaed Land Reclzmation Board S EP 3 01977 and Reclamation Permit, <br />Depar.:yent cf Natural Resources PursuanC to C.R.S. 1973, <br />1313 Sberaar. Street, Roam 723 MINED LAND RECLAMATION 34-32-101, ec seq. <br />Deaver, Colorado 20203 <br />Colo. Dept. of ~aturai ttesources <br />Lu~fT_TED L`PACT OPER9TIONS must disturb LESS TILI,`l ten acres (including all <br />reds, stockpile areas and any ot::er surface facilities) over the life of <br />t~ cane, and must extract LESS THA?i 70,000 tons o£ mineral, overburden <br />o_ comb i.-.ctior. t:e:eof per c~iendar yecr. 2f the affected area is some <br />fraction greater than nine acres, be sure NOT to round is up to ten acres <br />is t:.e narratives or elsewhere. <br />SP°CLAI. (T°\-D.4Y PROCcSSL'VG) operations must disturb LcSS T°.r1:7 ten <br />aares (includi g ail roads, stcc::~:.le areas and any other surface <br />facilities), am car. 0\~Y be obtained where a federal, state, county, <br />city, torn, or special district contract calls for work to be <br />ccmmenced within a SPECIFICALLY S::JRT Tom. <br />TYPE OR PRINT CLEARLY <br />1. ,lame of operatkQas <br />(Pit, mi.-.e, or site name) <br />PHUR I1TPJ. GRAVEL PIT <br />Z. Name of applicant/operator i PAPK COUPlTY, C~L~RAD~ <br />(:lame to be used oa permit) <br />3. Address and phone number of <br />local offices <br />4. Address and phone number <br />of general offices <br />5. :lame and phone number of person <br />staff members should contact <br />PA P. Y. COUNTY A"!h!El(, F.AIr'PLAY, C~ <br />303/836-2928 <br />enacr <br />T <br />I 303/836-2923 <br />GEORGE h!EST <br />' 303/II36-2471 <br />6. Owner(s) of record of affected i PARI: COL'IJTY <br />Land (surface area) I <br />(If more than 2, list below) ~ <br />7. Gwner(s) of substance to be mined i PAP.K COUPJ7Y <br />(If more than 2, list below) I <br />2. Source of 1eoa1 right to enter I OIfP!ED CY PPPLICAt!T <br />(Indicate what type of proof is I <br />+.ncluded in Eshibit G - lease, deed, I SEE EXHIBIT "G" <br />notarized letter, etc.) <br />9. Tyne of mi_ze it subc~ance to be mined <br />(Specify underground, strip, open pit, <br />etc. and substance(s) to be mined) <br />10. General location S elevation (`tiles <br />S direction frog nearest town S <br />appro:cimace site elevation) <br />11• County <br />12. Acreage of affected lands <br />(T_otal surface acreage to be <br />Lzcluded in pe:~ic) <br />OPEI; PIT, SA'!D P.'1D GRAVEL <br />9 "ICES rncT nr PnRT~Ft _ rlFV c7?n <br />PA.P.!< <br />10 ACRES <br />13. Application .fee (see applicable Rule <br />to determine amount) ! <br />