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n T <br />• III IIIIIIIIIIIII III <br />999 <br />• ~~~~n~a~~~~ <br />StP ? 1983 <br />LIMITED IMPACT AND SPECIAL <br />PERMIT APPLICATION FORM <br />STATE OF COLORADO <br />Mined Land Reclamation Board <br />Department of Natural Resources <br />1313 Sherman St., Room 723 <br />Denver, Colorado 80203 <br />MINED LAND RECLAMATIOi•1 DIVISIOPI <br />Colo. Dept. of Natural Resources <br />Application for Mining <br />and Reclamation Permit, <br />Pursuant to C.R.S. 1973, <br />34-32-101, et seq. <br />~3-/~7 <br />1. Name and Address Logan County Board of County Commissioners <br /> of Operator: Logan County Courthouse, Sterling, CO <br /> 80751 <br />2. Name of Owner of the surface Harold and Mary Lee Kues <br /> of affected land: <br />3. Name of Owner of subsurface Harold and Mary Lee Kues <br /> rights of affected lands: <br />4. Legal Description N?, NW ;, Sec. 10, T8N, R50W 6th P. M. <br /> to nearest 'q. !;; sec. 440' X 968' <br /> and approx. size 9.8 acres <br />5. Describe and identify the Open pit extraction of sand and gravel. <br /> type of mining operation Topsoil will be salvaged and stockpiled <br /> and how it will be con- for reclamation purposes. Some screen- <br /> ducted: ing and stockpiling of the sand & gravel <br /> may be necessary. Stockpiling of screen <br /> materials will be within the site. <br />6. Reclamation costs: not applicable <br />7. Application fee: exempt <br />To the best of my knowledge, the information presented in this application <br />is true and correct. <br />Chairperson, Logan County Board `of County <br />Commissioners <br />Date: 3 l90 3 <br />Enclosures: <br />