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/~~~ `90~ r _~ARTMENT OF NATURAI ', =SOURCES • III III III IIIIIII III <br />" ~~~'!'* DM IN ED LANDD~RE :LAMATION DIVISION <br />* X876 ; DAVID C. SHELTON, Director <br />Richartl D. Lamm <br />Governor <br />LIMITED Ih1PACT (110) AND <br />SPECIAL TEN-DAY (111) PERMIT <br />APPLICATION FORM <br />Application for Mining and Reclamation Permit, pursuant to C.R.S. 1973, 34-32-101, <br />et sec, as amended. <br />The follo~•~ing explanaticns cover Limited Impact applications (110's) and Special <br />(Ten-Day Processing - 111's) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application you are applying <br />for. 111 permits may be issued onl~•~~nder special circumstances. Be sure you are <br />eligible. <br />~xYl LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of the <br />mine, and must extract LESS THAN 70,000 tons of mineral, overburden or <br />combination thereof per calendar year. If the affected area is some fraction <br />greater than nine acres, be sure NOT to round this figure up to ten acres in <br />the narratives or elsewhere. <br />I_ SPECIAL ten-da <br />( y processing) operations are any sand, gravel, or quarry <br />aggregates operations which are to be operated for the sole purpose of <br />obtaining materials for highway, road, utility, or similar-type construction <br />under a Federal, State, county, city, town, or special district contract where <br />the contract calls for work to be commenced within a specifically short time <br />and which will affect ten acres or less (including all roads, stockpile areas, <br />and any other surface facilities). <br />INSTRUCTION: This application and all accompanying materials as outlined below must be <br />submitted in duplicate. For further guidance, and information for Limited <br />Impact Operations, see Rule 3 and for Special Permits, see Rule 4. <br />(Type or Print Clearly) <br />4 <br />'+,._Ty ~::{ F <br />1. Name of operation <br />(Pit, mine or site name) Funk Pit <br />~crzd rg8~ <br />2. Name of Applicant/Operator , <br />(Name to be used on permit) Routt County, Colorado ,. „-•,_._ <br />_.i ;. .. , <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />