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i/78 <br /> <br /> <br />~ <br />IT=O IMP.4C~ (110) and <br />T I II II I II III III IIII I <br /> S? C <br />~ <br />4L TE.I-DAY (111) P~RMIT , <br /> AP°LICATION FORM <br /> ~ <br />State of Colorado ~~~I V E xplication for Mining and <br />Department of Natural Resources Reclamation Permit, pursuant <br />MINED !AND RECLAMATION 30ARD 0 C T 2 to CRS 1973, 3{-32-i01, et seq <br />131j Sherman Street, d oom 723 4 ~glg <br />Denver, CO 80203 (303) 839-3567 <br /> MINF11 J Wain nrn, ...._. _ <br />t;oJO: Dept. of.Natural R .~ ~ ~,~,~ <br />The following explanations cover Limited Impact app~~~fa~'or ns (110s) and Special (Ten- <br />Day Processinp)(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 />g LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including <br />all roads, stockpile areas and any other surrace facilities) over the <br />life 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 scme fraction greater than nine acres, Se sure NOT to round this <br />figure out to ten acres in the narratives or elsewhere. <br />'_~ SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAfJ ten acres <br />(including all roads, stockpile areas and any other surface facilities), <br />and can ONLY be obtained where a federal, state, county, ci*.y, town or <br />special district contract calls for work to be commenced within a <br />SPECIFICALLY SHORT TIME. <br />(Type or Print Clearly) <br />1. Name of operation <br />l <br />i <br />' <br /> r <br />r Sand and Grave <br />P <br />MrFar1^nA r r r <br /> (Pi*, mine or site name) ~ <br />2. Name of applicant/operator McFarland Construction Com an <br /> (Name to be used on permit) <br />3. Address and phone number of 1037 Pha Avenue Canon Cit CO 81212 <br /> local offices <br /> 275-9269 <br />4. Address and pnone number of <br /> same <br /> general offices <br />5. `lame and phcne number of person I Jim McFarland Jr. 1037 Phav Ave. Canon Citv. CO <br /> staff memoers should contact <br /> 81212 <br />o. Owner(s) of record of affected <br /> land (surface area) (If more McFarland Construction Co., 1037 Pha Ave. Canon <br /> than 2, list below) <br /> Cit CO 51212 <br />7. Owner(;) of substance to be mined McFarland Construction Co., 1037 Phay Ave., Canon <br /> (If more than 2, list below) <br /> Cit CO 81212 <br />8. Source of legal rieht to ,enter P~ <br /> (Indicate what type of proof is Applicant is the fee owner and the deed is art :and <br /> included in 'cXHIBIT G - lease, of Exhibit "G". _ .. __. .. <br /> notarized letter <br />etc.) <br />deed <br /> , <br />, <br /> Ty?e cf mines substance to ~e ~.. - .... - .... ~ ... ... .._ ... <br /> ,Wined (Specify underground, strio, 0 en it extraction of sand ravel and a ri ate ' <br /> open ?i*_, etc. substance(s) to <br /> Se minedl material. <br />10. General location F elevation <br /> (Miles 6 direction from nearest Elevation approximately 5500 and about 6 miles equ <br /> town & approximate site eleva- <br /> ticn) from Penrose Florence and Canon Cit . <br />II. County <br /> m r <br />12. Acreage of affected lands <br /> (Total surface acreage to be <br /> included in oe nitl 9..93 acres <br />t3. application fee (See applicable <br /> RULE to determine amount) $125.00 <br />'cel <br />it <br />(over) <br />