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7,78 <br />.: <br />I, <br />F <br />t <br />C <br />MlN~D LAND RECLAMATION <br />o. ~o-a7 <br />The following explanations over <br />Day Processing)(ills) appii a n on <br />check the appropriate box t indi <br />LIHITED IMPACT OPERATI NS mu <br />all roads, stockpile a eas a <br />life of the mire, and ust e <br />overburden or combination th <br />area is some fraction reate <br />figure out to ten acre in t <br />SPECJAL (TEN-DAY PROC <br />;: (including all roads, <br />and can ONLY be obtai <br />special district coot <br />SPECIFICALLY SHORT T1 <br />( <br />...3 . ~ ~.~..~.-. <br />1 (Pit, mine or site name) <br />2. Name of applicant/operator <br />(Name to be used on permit <br />3. Address and phone number o <br />local offices <br />general offices <br />~i'ITED <br />SPEC~.4L T <br />iA?PL <br />~ ova III IIIIIIIIIIIIIIII <br />MPACT (110) and ~1 / e~ 999 <br />-DAY (tll) PERMIT ~ <br />,ECE1 , <br />Application for Mining and <br />JR N 2 ~ 19$0 Reclamation Permit, pursuant <br />to CRS 1973, 3'!-32-101, et seq <br />;fate of Colorado I~ <br />Department of Natural Resqurces <br />MINED LANG RECLAMATION BOARD <br />1313 Sherman Street, Room 723 <br />Denver, Co 80203 (303) 83°-35b7 ; <br />e <br />invited Impae,t applications (ii05) and Special (Ten- <br />In the interests of efficient processing, please <br />ate o-,hich type of application you are applying for beta. <br />C disturb LESS THAN ten acres (including _ <br />d any other surface facilities) over the <br />tract LESS THAN 70,000 tons of mineral, <br />roof per calendar year. If the affected <br />than nine acres, be sure NOT to round. this <br />narratives or elsz•Nhere. <br />SING) operations must disturb LESS THAN ten acres <br />tockp ie areas and any other surface facilit,ies), <br />d whe e a federal, state, county, city, town or <br />ct ca is for work~to be commenced within a <br />ype or Print Clearly) <br />'~ <br />F <br />F <br />f <br />~. _... <br />5. Name and phone number of p rson <br />staff members should conta t <br />6. Owner(s) of record of affe ted <br />land (surface area) (lf mo a Welton B'm arner <br />than 2, list below) <br />B x 6 stir <br />7.' Owner(s) of substance to b mine <br />(If more than 2, list belo ) <br />$. Source of legal right to .c ier <br />(Indicate what type of pro f is <br />included in EXHIBIT G - le se, <br />deed, notarized setter, et .) <br />9. Type of mine b substance tp be <br />mined (Specify underground, stri <br />open pit, etc. b substance(s) to <br />-- a. -..~_~~._. _ _ ..~.______~~_ _ _ _,_ __ ,~ <br />opea pit <br />10. General location b elevati n <br />(Miles b direction from ne rest <br />Caw~n)8 approximate site e] va- raevation at site i~.~, <br />lt. County <br />12. Acreage of affected (ands <br />(Total surface acreage to ,be <br />included in permit i <br />f3. Application fee (See appiiicable <br />RULE to determine Wit) <br />~~ T- <br />:,, <br />T~ . - <br />,Pl. ~ <br />(over) <br />