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<br />-1I <br />~~I II~I~~!I~I~~~ I~~ <br />LIMi~i~cu IMPACT (110) and <br />SPECIAL TEN-DAY (Z1~~~T <br />APPLICATION FORM <br />State of Colorado ,1983 Application for Mining and <br />Department of Natural Resources F E B 1 4 Reclamation Permit, pursuant <br />MINED LAND RECLAMATION BOARD AND DIVISZO~NED LAND RECLAMATION to 34-32-101, CRS 1973, <br />1313 Steelman Street, ROOM 423 COLO. DEPT. OF NATURAL RESOURCES amended <br />Denver, CO 80203 (303) 866-3567 <br />'b 3- z~s CK Si~(~ <br />The following explanations cover Limited Impact applications (120's) and Special (Ten- <br />Day Processing - I11'sJ applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application you are applying <br />for here. 111 permits may be issued only under special circumstances. Be .sure you <br />are eligible. <br />® ZSMITED IMPACT OPERATIONS must disturb less than ten acres (including all roads, <br />stockpile areas and any other surface facilities) over the life of the mine, and <br />must extract LESS THAN 70,000 tons of mineral, overburden or combination thereof <br />per calendar year. If the affected area is some fraction greater than nine acres, <br />be sure NOT to round this figure up to ten acres in the narratives or elsewhere. <br />^ SPECIAL (ten-day processing) operations are any sand, gravel, or quarry aggregates <br />operations which are to be operated for the sole purpose of obtaining materials <br />for highway, road, utility, or similar-type construction under a Federal, State, <br />county, city, town, or special district contract where the contract calls for work <br />to be commenced within a specifically short time and which will affect ten acres <br />or less (including all roads, stockpile areas, and any other surface facilities). <br />INSTRUCTION: This application and all accompanying materials as outlined below must <br />be submitted in du_glicate. For further guidance and information for <br />Limited Impact Operations, see PULE 3 and for Special Permits, see RULE 4. <br />(Type or Print Clearly) <br />1. Name of operation <br />(Pit, mine or site name) <br />Wallace Pit <br />2. Name of applicant/operator <br />(Name to be used on permit) <br />3. Address and phone number of <br />lxal offices <br />4. Address and phone number of <br />general offices <br />Mountain Gravel & Construction Co. <br />PO Box 788, 601 Central Avenue <br />Dolores, Colorado 81323 <br />N/A <br />5. Name and phone number of person <br />staff members should contact <br />Ruben McEwen, Pete Ballode <br />303-882-7232 <br />