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~:. III IIIIIIIIIIIIIIII
<br />LI:4ITEL 1.•ice~.9991VJ era
<br />SPECIAL TEN-DAY (111) P~R.*!IT
<br />u
<br />Stace of Colorado
<br />Departmaat of Natusal Rasourca:
<br />,LL"TED LAND REC'..LMATION HOARD J U L 4 b 19 d 1
<br />1313 Shareun Street, Rcam 423
<br />Daawr, CO 80203 (303) 839-3567~~~Fn I AEI[) RECLAMATION
<br />r ~ 5~~
<br />~~~
<br />Apol=cation for :lining and
<br />Raclamatioa Permie, aursuant
<br />to CES 1973, 34-32-101, et seq
<br />_/S
<br />Coio. Jept. of ivatural Resources
<br />The following azplanations cover Limited Impact applications (110'a) sad Spacial (Teo•
<br />Day Procsssing)(I11's) applications. In the interests of efficient procasaing, pleasE
<br />check the appsopriate boz to indicate r+hich type of application you are applying far
<br />here. II1 permits may ba issued only under especial eircumstaneas. Ba sure you era
<br />eligible.
<br />f~ LL'SI'PrD L`Le9CT OPERATIONS mast disturb Lc'~SS THAN ten acres (including all
<br />4~ roads, stockpile sraas and nay athar surface facilities) over the life of
<br />the mina, and asst aztract LESS THAN 70,000 tons. of mineral, overburden or .
<br />combination thereof par calendar year. If the affected area is some fraction
<br />granter eban nines acraa, bs sure NOT to round this figure out to ten acres is
<br />the narratives or alaawhers.
<br />f"'I SPECIAL (TEY-DAY PROCLSSIIiG) operations moat disturb LESS THATr tea acres
<br />LJ (iscludiag all roach, stockpile areas and nay other surface facilitias7,
<br />and can ONLY be obtaiaad vhera a fadaral, orate, county, city, coon or
<br />apse'ial district contract calls for wrk to be coemancad within a SPEC3I+ICALLY
<br />SHOAT 1T45.
<br />(Type or Priest Clearly)
<br />I. Name of operation Fo st Lakes Gravel Pit $1
<br /> (Pit, mina or site agar)
<br />Z. :Tear of applicant/operator ,
<br /> (Noma to be used on parait)
<br />3. ?,ddreas and phone number of
<br /> local offices Hayfield, Co. 81122 (303) 884-2411 ~SC- '
<br />4. Addreaa and phoaa number of
<br /> ganaral offices Mena Arizona 85202 f~) 969 -8000
<br />5. Naau sad phone manber of parson ~
<br /> staff membara should contact
<br />6, Ower(a) of record of affeetad:aad
<br /> (surface asesXLfmoietban2, lstbelov Trustee
<br />7. Ower(s) of substaaca to bs miaad
<br /> (if morn than 2, list below)
<br />8. Saurca of legal right to aatar
<br />(Indicate shat typo of proof is
<br /> faeludad is E~IHIT G - laaaa,
<br />dead, notarized latter, etc.)
<br />?. Typo of mina b substaaca to bs
<br />mined (Specify undargrouad, strip,
<br />0 en Pit ravel operation
<br /> span pit, etc. b substance(s) to
<br />10. Gaaaral location b slevatiaa
<br />~
<br /> (:4ilas b direction from naarast
<br />cow b approximate site elevation)
<br />lI. Caaaty a unt
<br />12. Acreage of affaeted lands
<br />(Total surface acreage to ba
<br />iacludad is parait) ~{..,.s ~~5 ~~ ~~rt'=
<br />3 ^'°~`' Aa~,~w~~ ~~~,,.-s ~~~ ~~~1k~51
<br />5 s~ ~tcc~/ ,,,,,~ @-c~u'S ~.a, ,2..1
<br />13. Application foe (See applicable
<br />dLZE to datarmina amount) ~ r"`"QS -`"' °'a:r~„"~.~ ^°b~°,r~.
<br />mOS
<br />14. Yreseat Load use ('_,e., agri- _
<br /> cultural, industrial, etc.)
<br />I5. P^ooased future Land use P rk
<br /> (Coal of reclamation)
<br />(aver)
<br />p
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<br />ti
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