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<br />•~~ ^u~nnu111111
<br />LI:4ITED __ sss -
<br />SPECIAL TE.I-DAY (111) PER`IIT
<br />?~.°PLICaTT_OY P03.`*.
<br />State of Colorado ~ ~~ ~~~ ~~
<br />Department of Natural Rasourc-ea `.. ,.--' -
<br />`£I.`IED LAND RECS.1.`~i1TI0N BOARD
<br />1313 Shernaa Street, Roan 423 ~,f'-~~ ' ~ ~9a~
<br />Deaver, CO 80203 (303) 839-3567
<br />~~a9s g~
<br />-~ /~
<br />application for Hieing and
<br />Reclamation Permit, pursuant
<br />to CRS 1973, 34-32-I01, et seq
<br />F; le, lyo. S~ -
<br />The following explaaatioas ca~.t~~J~g~p~atioas (110'x) sad Spacial (Ten-
<br />Day Procesaing)(I11's) applications. In the iatarests of efficient processing, please
<br />check the appropriate box to indicate which type of application you are applying for
<br />hare. 111 permits may ba issued Daly uadar special circumstaacas. Ba sure you era
<br />eligible.
<br />0 Ll~LIT~ L~aCT OPERBTIONS must disturb LESS THAN tea acres (iaeludiag all
<br />roads, stockpile areas sad say other surface facilities) over the life of
<br />the mine, sad moat extract LESS THAN 70,000 tans. of mineral, overburden or .
<br />combination Chnreof per ealaadar year. Zf the affected area is same Fraction
<br />greater chaa nine acres, be sure NOT to round this £iguse out to can acres is
<br />the narratives or elsewhere.
<br />SPECIAL (TEN-DaY PROCESSL`IG) operations moat disturb LESS THA.`i tea acres
<br />(iacludiag all roads, stockpile areas and say other surface facilities),
<br />sad can ONLY be obtained where a federal, state, eouaty, city, town ar
<br />special district contract calls for work to ba commeacad within a SPECIPICaLLY
<br />SHORT Tom.: ,
<br />• (Type or Print Clearly).
<br />1. Name of operation I Builders Aa.Qreeate Company, Inc.
<br />(Pit, mice or site,name).
<br />2. Same of applicant/operator ~ Builders A~pregate Co. Inc.
<br />(Name Co ba used on permit) ~ .____ ., ... __ ., ..
<br />3. ?,ddress sad phone number of
<br />local offices
<br />4, address sad phone aumbar of I OlC Wna}_ Aaavwr ~ Fnr+. Mnr&~~ Cnlerarin An7
<br />general offices ,.,__. ..,_ ,__,
<br />5. Mama sad phone number of person
<br />staff members should contact
<br />James K. Miner
<br />6, Ovner(a) of record of affactadaad ~ Builders ArgreRate Company, Inc.
<br />(surface areaX Lf more thaa2, 1st below)
<br />7. Oc+s:ar(s) of substance to ba miaad ~ Builders ARgreCate Compan-y, Inc.
<br />Cif aura than 2, list below)
<br />8. Source of legal right to eater
<br />(Iadicata what eypa of proof is 1 80 Tax Pa ent
<br />tacludad in E~ISIT G - lease,
<br />dead, notarized letter, etc.)
<br />9.- Type of mice 5 substance to be -
<br />minnd (Speci-`y underground, strip, ~ni+ Dredr-ine-Sand. Craval, Rock
<br />open pit, etc. b substaaee(s) to
<br />ba mined)
<br />10. Gaaaral location b elevation
<br />(:Liles b diractioa from nearest
<br />eown b approximate site elevation)
<br />ll. Canaty
<br />I2, acreage of affected leads
<br />(Total surface acreage to be
<br />~cluded is parsit)
<br />13. anplicacioa fee (See applicable
<br />RL'Ls. co detaxmiae amount)
<br />L». Present lead use (i.e., agri-
<br />"- eultu-al, induseria'_, see.)
<br />Nine (9) acres
<br />One=hundred and fifteen dollars (~i15.00)
<br />'1
<br />~-~
<br />15. P-oposed future Iand use rial V,.? ~ U ('1q
<br />(Goal-of-raclamacion)
<br />_...
<br />-... ... ...- . Cover) ---
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