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,~ ~., .. <br />RKhnoD Lamm <br />Go+m hor <br />~ ~ ~ <br />DEPARTMENT OF NATURAL RESOURCES 999 <br />David H. Getches, Executive Director <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SH EIT ON, Dlreclor <br />LIMITED 1t4PAC7 (110) AND AUG 17 1884 <br />SPECIAL TEN-DAY (111) PERMIT <br />APPL ICATIOiV FORM MINED LAND RECLAMATION DIVISIOPI <br />Application for Mining and Reclamation Permit, pursuant to C.RoS ep1973atu~dR~spy~~~ <br />et seg, as amended. / S <br /> <br />The following explanations cover Limited Impact applications (110's) and Special <br />(Ten-Day Processing - 111's) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application you are applying <br />fur. 111 pernits may be issued only under special circumstances. Be sure you are <br />eliginle. <br />LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all <br />roads, stockpile areas and any other surface facilities) over tl7e 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 some fraction <br />greater than nine acres, be sure NOT to round this fiyure up to ten acres in <br />the narratives or elsewhere. <br />~] SPECIAL (ten-day processing) operations are any sand, gravel, or quarry <br />agyregates operations which are to be operated for the sole purpose of <br />ootaininy 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 3r and for Special Permits, see Rule 4. <br />(Type or Print Clearly) <br />1. Name of operation <br />(Pit, mine or site name) <br />2. Narne of Applicant/Operator <br />(iJame to be used on permit) <br />City of <br />423 Centennial building, 7373 Sherman Street Denver, Colorado 80203 Tel. (3D3) B66-3567 <br /> <br />