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LIMITED IMPACT AND SPECIAL (TEN-DAY) � yl{SO <br /> PEFI-11T APPLICATIO:! F07'? <br /> • STATE OF COLOR\DO RECEIVED ED Application for Pfining <br /> dined Land Reclamation Goard and Reclamation Permit, <br /> Department of Natural Resources Pursuant to C.R.S. 1973, <br /> 1313 Sherman Street, Room 723 D[ r 1 t21979 34-32-101, et seq. <br /> Denver, Colorado 00203 <br /> MINED UiND RECLAMATION <br /> LI:4ITED IMPACT OPERATI&fo.Tt�F 6kitgdlL'Fjl ffer6&CJ�UN ten acres (including all <br /> roads, stockpile areas and any other surface facilities) over the life of <br /> the mine, and must extract LESS TY-4:1 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, he sure NOT to round it up to ten acres <br /> in the narratives or elsewhere. <br /> SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS Tlikli ten <br /> acres (including, all roads, stockpile areas and any other surface <br /> facilities) , ant' can ONLY be obtained where a federal, state, county, <br /> city, town, or special district contract calls for work to be <br /> commenced within a SPECIFICALLY SNORT TIME. <br /> TYPE OR PRINT CLF RLY <br /> 1 . Name of operations /�IAPC'�C11d+�"9Mw�i�.µ <br /> (Pit, mine, or site name) <br /> • 2. 'lame of applicant/operator l: <br /> (Name to be used on permit) <br /> i <br /> I <br /> 3. Address and phone number of R* 1 v 3$3 <br /> local offices <br /> ff055D P, <br /> 4 . Address and phone number SAME AS ABOVE <br /> of general offices <br /> i <br /> i. Name and phone number of person wdL�i Fliidf. <br /> staff members should contact <br /> 6. Owner(s) of record of affected Velma Frank <br /> land (surface area) <br /> (If more than 2, list below) --— <br /> 7 . O&.mer(s) of substance to be mined iVelma Frank <br /> (If t,iore than 2, 'list below) i <br /> S. Source of legal right to enter Lease <br /> (Indicate what type of proof is <br /> included in Exhibit G - lease, deed, _ <br /> notarized letter, etc. ) <br /> • 9. Type of mine & substance to be :pined Open Pit for Sand & Graual... <br /> (Specify underground, scrip, open pit, ' <br /> etc. and subscance(s) to be mined) <br /> ji,, --- <br /> 1.0. General location & elevation (Miles I <br /> & direction from nearest town & <br /> approximate site elevation) I- 1i1rt�_ <br /> _ U.S.G.S. ElevatioWAW <br /> County <br /> 2. Acreage of affected lands Total Tra ct S` <br /> (Total surface acreage cc be <br /> included in permit) _ <br /> I <br /> 3. Application fee (See applicable Rule $12500 _. <br /> to determine amount) <br /> A2 <br />