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<; <br />DEPARTMENT OF NATURAL RESOURCES <br />Delia H. Ostchea, Fsawava Director <br />MINED LAND RECLAMATION .DIVISION <br />DAVID C. SHELTON, Dlr~etor <br />RkJiara D. Lamm <br />Governor ~~~~~~~ <br />FEB 2 8 ~ LIMITED IMPACT (110) AND <br />SPECIAL TEN-DAY (111) PERMIT <br />ccLL//M~INpEDLApNOy~q~n~1 APPLICATION FORM <br />ApplicatioE~r ldini~aTildRTlCI'~Ilation Permit, pursuant to C.R.S. 1973, 34-32-101, <br />et seg, as amended. , <br />n'1 ~ Sc to-D~ 5 ~'~ m41r,~ ~'-/a?~.07 QceO• Sy 77 <br />The following explanations cover Limited Impact applications (110's) and Special <br />(Ten-Day Processing - Ill'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 only under special circumstances. Be sure you are <br />eligible. <br />ICI 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 same 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_I SPECIAL (ten-day 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 />1. Name Of Operation Mitchell Open Pit Mine #1 <br />(Pit, mine or site name) <br />Name Of Applicant/Operator Mitchell Concrete & Caisson Drilling, Inc <br />(Name to be used on permit) <br /> <br />- ~ . 423 Centennial 8ullding, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />• iii iiiiiiiiiiiu iii <br />