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~IIED IMPACS AND sPECIAL (TE!-OAT) ~ ~1l ~p~ ~ ~/ III III ~II III IIII III <br />PERR2fIi APPLIUTION FYIAM ~~~ d I I ~ <br />SSATE OF COLORADO L :~ ~ -.- - -. Applfutlon fot !fining <br />Mined Land Reclamation Board 'and Aaelafutlon ParaSt, <br />Department of Natural Reaourcea Pursuant to C.R.S. 197), <br />1717 Sherman Street, Room 727 N O V 1 7 i978 s4-32-101, •t aaq. <br />Denver, Colorado 8020) II[~r~ C t(1~1 <br />LBIISED IHPACi OPERAriVNt,~-mua trHi'arCZ~b`L~t9r5~ 11G1t7 ten actea (inelud ing all <br />roads, ato ckpile are~1en~`pnyCP STeF;~au{~tef_~~S1lt lea) owe[ the llta of <br />the mine, and must excrete fE55 TITAN 70,000 cone of mineral, overburden <br />or comb inatlon thereof per calendar year. If the affected area !a soma <br />fraction greeter [hen nine acres, be sure NOT [o round it up [o [en acres <br />in [he nerracivea or elsewhere. <br />SPECIAL (SEN-DAY PROCESSING) opera [ions must dlsCUrb LE55 iFlAN tan <br />acres (including all roede, sco ckp Sle areas amd any other •urfaca <br />fecllLtles), any' can ONLY be ob[a Toed where a federal, state, county, <br />city, town, or special df strict contract calla for wrk to be <br />tommem[ed with In a SPECIFICALLY SHORT tIlOi. {"' }, In <br />TYPP. AR PRINS CLEARLY rl (P. I\I O ~ ~ !I <br />1. Neme of opera[Sona <br />(Pit, mine, or fits Dame) <br />2. Name of applicant/oper acor _~~:.~~-via ~~~, <br />(flame [o be used on pe rml[) <br />3. Address and phone number of <br />local offices <br />4. Address and phone number <br />of general offices <br />5. Name and ?hone number of person ~ _ _ <br />staff aembers should contact <br />6. owner(s) of record of affec ced j Union Carbide Corporation <br />land (surface area} y <br />(If more then 2, list below) <br />~.~wr..~(165, 6ratnir~irlMg mss. 85@1 <br />7. owner(s) of substance co be nlned i U S Denartment of Ensryey <br />(If more [hen 2, list below) ~ <br />8. Source of legal right co enter ~ Notarized Letter <br />(Ind Scace whet type of proof Ss ' <br />Included in Exh ib lc C - lease, deed, <br />notarized letter, etc.) <br />9. Type of mine d substance [o be mined <br />(Specify underground, strip, open p1[, <br />etc. and substance(s) to be mined) <br />10. Cener ^1 lot ^t ins 6 elevac ion (Y ilea <br />b direction from ne area[ town b <br />approximate fits elevation) <br />11• County <br />12. Acreage of affected lands <br />(ioca2 autfece acreage to be <br />included iv permit) <br />17. Appl lcatlon fee (See app llcable Rule <br />[o determine amount) <br />miles <br />~ ~~~~~~ <br />Colorado <br />Elevation - 5.550 <br />y.9..0, asEes <br />