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1 i <br />'~ w' III III III IIIIIIIIII ~~?~!~' <br />S1'A'1'E OP COLORADO <br />Mined Land Reclamation Board <br />Department of Natural Resources <br />1313 Sherman Street, Room 615 <br />Denver, Colorado 80203 <br />LIMITED IMPACT ~ ~w ~ ~ ~ ~ H, <br />R~~/~~ ~S r-,,AP CITATION FOk MINING ANll RliC1,M'ATION <br />'+S Pursuant to C.R.S. 1973, 34-32-101, <br />OCT211985 et. seq. ~ F°ZI-~F'~ tI LL.® <br />P~ifJ AN3CiCLAPsATIC1l r~G3 -;i ;;, <br />. Cola ~+~R~~a6ddilcB~Y . <br />Name of Operator: Legal Description~'~ ~"~~'. ~ ~" ~~ '~~ ~l: ' • ~~N <br />• bolo. Ue~;i. v. "i;.~:al i.~~;_~rces <br />Colorado Lien Comnanv ui. 1/4 and N ~/2. SW 1/4 Ser H on_71 <br />Address and phone number of local and <br />general offices: <br />v n Rnv iaai <br />Fort Collins. Colorado AOSz2 <br />1-303-493-6294 <br />Address and phone number of person in <br />charge, if different from above: <br />Townshio 11 N..R.69 W.. 6th P.M. <br />f l <br />Affected A~res~ , <br />Material to be mined; <br />Present land use of area: <br />Proposed future use of area: <br />Ranch Land- Possible erazinv <br />INSTRUCTIONS; This application must be accompanied by the following information and <br />items. The application may not be processed until complete. , <br />1. Name of the owner(s) of the surface of the affected land: Gladys T. Munroe <br />2. Name of the owner(s) of the subsurface rights of the affected land: <br />Rockv Mountain Energy Company <br />3. A map showing information sufficient to determine the location of the affected land <br />on the ground and existing and proposed roads or access routes to be used in connec- <br />tion with the mining operation. This map should be of a scale sufficient to clearly <br />show the ,affected land and should also show topographic lines sufficient to reveal <br />the direction and slope of the land. Label Exhibit A. <br />4. Water resources: A brief description of: <br />a) the surface water occurring on the affected Iand; <br />b) the subsurface water occurring on the affected Iand; <br />c) the estimated water needs for the operation; and <br />d) the need for a NPDES permit. <br />NOTE: If no water occurs on the site state such. <br />Label Exhibit B. <br />S. Wildlife resources: A brief statement listing the species of wildlife occurring on <br />the affected land, noting any endangered or threatened species, and a summary of the <br />influence of the operation on the existing wildlife. Consultation with the local <br />wildlife conservation officer of the Colorado Division of Wildlife is advised. <br />Label Exhibit C. <br />1 <br /> <br />