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<br />- LIMED IMPACT AND SPECIAL (TEN-DA~ III IIIIIIIIIIIIIIII <br />PERMIT APP I A ION FORM <br />STATE OF COLORADO Application for Pitning <br />Ftined Land Reclamation Board and Reclamation Permit, <br />Department of Natural Resources Pd AY 31 1978 Pursuant to C.R.S. 1973, <br />1313 Sherman Street, Room 723 34-32-101, et seq. <br />Denver, Colorado 80203 MINED LAND RECLAMATION <br />Colo. Dept. of Natural Respp1lrCes <br />L7]4ITED IMPACT OPERATIONS must disturb LE55 TITAN ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of <br />the mine, and must extract LESS THAN 70,000 tons of mineral, overburden <br />or combination thereof per calendar year. If the affected area is some <br />fraction greater than nine acres, be sure NOT to round it up to ten acres <br />in the narratives or elsewhere. <br />SPECIAL. (TEN-DAY PROCESSING) operations must disturb LESS THAN ten <br />acres (including all roads, stockpile areas and any other surface <br />facilities), anr' can ONLY be obtained where a federal, state, county, <br />city, town, or special district contract calla for work to be <br />commenced within a SPECIFICALLY SHORT TIME. <br />TYPE OR PRINT CLEARLY i '~ ~C. /YO. !O "~f a- <br />1. Name of operations Ait Dio. 6 <br /> (Pit, mine, or site name) <br />iawewa Yteta <br />2. Name of applicant/operator Ghaffso- CO111Lty <br /> I <br />(Name to be used oa permit) <br />3. Address and phone number of I y445 c/r 140 Salida, Ce. 81201 <br /> local offices 303-539-6961 <br /> <br />4, <br />Address and phone number Chaffee County Courthouse <br />p 0 Box 699 Salida, Co, 81201 <br /> of general offices <br />303-539-2218 <br />5 Name and phone number of person •y,iarence R Camnten <br />. staff members should contact 303-539-6961 <br />6. Owner(s) of record of affected Chaffee County <br /> Land (surface area) <br /> (If more than 2, list below) <br />7 Owner(s) of substance to be mined Chaffee County <br />. (If more than 2, list below) <br />8, Source of legal right to enter <br /> (Indicate what type of proof is <br />included is Exhibit G - lease, deed, <br /> notarized letter, etc.) Send and Gr el <br />9 bstance to be mined <br />6 <br />i <br />f o~ Pn Pit <br />. su <br />m <br />ne <br />Type o <br />(Specify underground, strip, open pit, <br /> etc. and substance(s) to be mined) <br /> (Poles <br />i <br />l <br />3 Miley SW of Buena dicta, Co. <br />.0. on <br />evat <br />General location ti e <br />t: direction from nearest town 6 <br /> approximate site elevation) <br />.1. County Gb~-fee County <br />.2. Acreage of affected lands 8 <br /> (Total surface acreage to be <br />included is permit) <br />3 lication fee (See applicable Rule <br />A 825.00 + 810.00 per Acre $£30.00 = 8105• <br />. <br />. pp <br />to determine amount) 1~l~ T /J~~/ <br /> <br />