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7/7a <br />LIMITED IMPACT (110) and • <br />SPE <br />State of Colorado <br />Department of Natural Resources <br />MINED LAND RECLAMATION BOARD <br />1313 Sherman Street, Room 723 <br />Denver CO 80203 (303) 839-3567 <br />CIAL TEN-DAY (111) PERMIT <br />APPLICATION FORM <br />~- ~ ~r, ,,_,. ,. _ i ~ '-'• Rec 1 ama t i on <br />I^:M l I) ''"'~~ to CRS 1973, <br />for Mining and <br />Permit, pursuant <br />:f4-32-101, et seq <br />~ ~(rT~~~ <br />_ P, .~Iaj~. ~- <br />The following explanations cover Limited Impact applications (110s) and Special (Ten- <br />Day Processing)(Ills) applications. In the interests of efficient processing, please <br />check the appropriate box to indicate which type of application you are applying for here <br />'x LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including <br />all roads, stockpile areas and any other surface facilities) over the <br />life of the mine, and must extract LE55 THAN 70,000 tons of mineral, <br />overburden er combination thereof per calendar year. If the affected <br />area is some fraction greater than nine acres, be sure NOT to round this <br />figure out to ten acres in the narratives or elsewhere. <br />' I SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres <br />(including all roads, stockpile areas and any other surface facilities), <br />and can ONLY be obtained where a federal, state, county, city, to Nn or <br />special district contract calls for o-~ork to be commenced within a <br />SPECIFICALLY SHORT TIME. <br />~=77- ~f/a, d~ <br />(Type or Print Clearly) <br />1. Name of operation Cross Mine <br /> (pit, mine or site name) <br />2. Name of applicant/operator Hendricks Mining Company, Ins:. <br />- <br /> (Name to be used on permit) <br />3. Address and phone number of Cross ltiline Road, Caribou, Co.Lorado~ P.O. <br /> local offices 653, Nederland Co 80466 (303) 258-3806 <br />4. Address and phone number of 3000 N. 63rd <br /> general offices <br />Boulder CO 80301 (3031 443••1502 <br />5. Name and phone number of person Thomas S. Hendricks <br /> staff members should contact <br />(303) 443-1502 <br />6. Owner(s) of record of affected <br />land (surface area) (If more <br />Dofflemyer-Stillwell Trust <br /> than 2, list below) <br />7. Owner(s) of substance to be mined Dofflemyer-Stillwell Trust <br /> (If more than 2, list below) <br />8. Source of legal right to enter <br />(Indicate what type of proof is <br />notarized letter <br /> included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />9. Type of mine b substance to be <br />mined (Specify underground, strip, <br />underground <br /> open pit, etc. 6 substance(s) to <br />be mined} <br />silver, lead, zinc, gold, copper <br />10. General location b elevation <br />(Miles & direction from nearest <br />5 miles west of Nederland, Cclorado <br /> town b approximate site eleva- <br />tion) <br />10,000 feet elevation <br />11. County Boulder <br />12. Acreage of affected lands <br />(Total surface acreage to be <br />included in ermit less than 1 acre <br />t3. application fee (see applicable <br />RULE to determine amount) sent in in original application <br />~~ <br />Sox <br />(over) <br />