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7/78 <br />•I <br />MITED IMPACT <br />(I10) and ~ III IIIIIIIIIIIII III <br /> SPEC IAL TEN-DAY (111) PERMIT 999 <br /> APPLICATION FORM it ~ ~ (~~, <br /> ~~ <br /> r ` <br />~ ~~~ <br />~ ~~ <br />State of Colorado " ` Application for Mining and <br />Department of Natural Resources Reclamation Permit, pursuant <br />MINED LAND RECLAMATION BOARD SEP - 4 1919 t~ CRS 1973, 34-32-I01, et seq <br />1313 Sherman Street, R oom 723 <br />Denver_ CO 80203 (30"il 839-3567 <br />iJIINED LAND RECLAMATION <br />~~~~ vepi. of natural Mesouce~ <br />The folloi+ing explanations cover Limited Imoact applications (110s) and Special (Ten- <br />Day Processing)(Ills) applications. In the interests of efficient processing, please <br />• check the appropriate box to indicate a+hich 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 LESS THAN 70,000 tons of mineral, <br />overburden or 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 [o ten acres in [he narratives or else•.~here. <br />SPECIAL (TEN-DAY PP,OCESSING) operations must disturb LESS THAN ten acres <br />(including all roads, stoc:<pile areas and any other surface facilities), <br />and can ONLY be obtained where a federal, state, county, city, to~.+n or <br />special district contract calls for work to be commenced within a <br />SPECIFICALLY SHORT TIME. ~,~e N~.7~-~(~~ <br />(Type or Print Clearly) <br /> <br />r <br />L_ <br />1. Name of operation <br />i $}iaTiTTSR elf: <br /> (Pit, m <br />ne or site name) <br />2. Name of applicant/operator CG10Ya~F? DlYlS1011 6F Ni9hwags <br /> (Name to be used on permit) <br />3. Address and phone number of p,e, Box 53G - Pueblo, CO 81002 <br />' local offices PFpue 5r4adii38b <br />4. Address and phone number of 4340 E. Louisiana - Deno CO 80222 <br /> general offices <br />Phone 757-9224 <br />5. Nzme and phone cumber of person <br /> staff members should contact <br />Phone 757-9224 <br />6. Owner(s) of record of affected <br />land (surface area) (lf more <br />Cecil and Helen Shannon <br /> than 2, list below) <br />7. Owner(s) of substance to be mined <br />Cecil and iielen Shannon <br /> (If more than 2, list below) <br />8. ;,,urce of legal right to enter <br />(Indicate o-+hat type of proof is _ <br />Option to Buy I.laterial <br /> included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />9• Type of mine E substance to be <br />mined (Specify underground, strip, <br />Open Pit - Gravel <br /> open pit, etc. & substance(s) to <br />be mined) <br />0. General location E elevation <br />(tli les L direction from nearest <br />61•lil e5 $OUthweSt Of Kim <br /> town E approximate site eleva- <br />t i on) <br />11. County <br />• <br />Eas Animas <br />12. Ar_reage of affected lands <br />(Total surface acreage to be <br />included in ermi[ <br /> <br />6.024 AG'05 <br />13. Application fee (See applicable <br />RULE to determine ar.~ount) <br />ytj.00 <br />(ov~:r) <br />