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2778, <br />~,. ,. <br />s <br />F`" / ~ <br />i <br />i <br />~~ ,y <br />~it41TED IM~C7 (li0) and ~~p~ <br />° ;; SPECI~T#~O/rYyill~) PERMIT lf'/ ~~~• <br />- ' 1 <br />State of Colorado <br />Department of Natural Resources <br />MINED LAND RECLAMATIpN BOARD <br />1313 Sherman Street, Room 723 <br />Denver, Co 80203 (303) 839-3567 <br />JUN -1 1579 <br />MIiJED LAN~7 RECLAiNATION <br />Colo. Dept. of Natural Resources <br />1111111111f11111~~~ <br />sss <br />Application for Mining and <br />Reclamation Permit, pursuant <br />to CRS 1973, 34-32-101, et seq <br />The following explanations cover Limited Impact applications (ilOs) and Special (Ten- <br />Day Processing)(llls) applications. In the interests of efficient processing, please <br />check the appropriate box to indicate which type of application you are applying for here. <br />LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including <br />all roads, stockpile areas and any other surface facilities) over the <br />fife of the mine, and must extract LESS THAN 70,000 tons of mineral, <br />overburden or combination thereof per calendar year. If the affected <br />area is some fraction greater than nine acres, be sure NOT to round this <br />figure out to ten acres in the narratives or elsewhere.^ <br />i <br />t; <br />Y <br />i <br />t <br />i <br />f <br />k <br />F <br />i <br />h- <br />SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres <br />(including all roads, stockpile areas and any other surface facilities), <br />and can ONLY be obtained where a federal, state, county, city, town or <br />special district contract calls for work to be commenced within a <br />SPECIFICALLY SNORT TIME. <br />F.I~ 1110. 79-103 <br />(Type or Print Clearly) <br />1. Name of operation <br />(Pi <br />i <br />i <br />) 4M_1!*!!0'!r~ <br /> t, m <br />ne or s <br />te name <br />2. Name of applicantloperator <br />( <br />b <br />) n <br /> Name to <br />e Used on permit <br />3. Address and phone number of <br /> local offices <br />4. Address and phone number of Same <br /> general offices <br />5. Name and phone number of person Bill Baile Office - 878-5636 <br />- <br /> staff members should contact Home - 878-4452 <br />6. Owner(s) of record of affected <br />land (surface area) (If more <br />Arthur and Patty Amick <br /> than 2, 1 ist below} Lynn Whiteman <br />7. Owners} of substance to be mined <br />(I <br />h <br />2 <br />li <br />) Arthur Amick <br /> f more t <br />, <br />an <br />st below Patty Amick <br />8. Source of legal right to enter <br />(Indicate what type of proof i s <br />Arthur Amick <br /> included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />Lease <br />9. Type `di mine b`substance'~`b~e <br />mined (Specify underground, strip, °` `--- -~ J - - -- , .._-- _ .. _._. __ _ _ <br />GZiarr.~i~ -~irYi. <br /> <br />open pit, etc. E substance(s) to <br />be mined) _ <br />]0. General location E elevation <br />(Miles E direction from nearest <br />e-do <br /> town E approximate site eleva- <br />tion) <br />, <br />li, County <br />12. Acreage of affected lands <br />{Total surface acreage to be <br />included in ermit <br />~ <br /> <br />13. <br />Application fee (See applicable <br />RULE to determine amount) _ <br /> <br /> <br />~~ - <br />Vii. I <br />r....v~ <br /> <br /> <br />