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/% /'v • <br />IFtITED 111PACT (110) and <br />ECIAL TEN-DA'f (111) PEP.111T <br />APPLICATIC;J FOP,11 <br />III IIIIIIIIIIIII III <br />St<±te of Colorado Application for Mining and <br />Oe:;:_.[gent cf "lateral „escurces <br />' <br />' J1819,~9 P,eelamatien Permit, pursuant <br />~rIOtJ BOARD <br />;41!;c0 LP.aD P,ECLA! <br />: [o CRS 1973, 34-32-101 , et seq <br />1 jl3 Sherr.ian Street, Room 723 .. <br />Denver, CO 80203 (303) 839-35b7 MiNrD LANDI>~CLA64AIi0N <br /> Colo Deot of Natural Resources <br />The follo:aing explanations cover Limited Impact applications (110s) and Special (Ten- <br />• Day Processing)(Illsl applications. In the interests of efficient processing, please <br />check the appropriate box to indicate which type of application you are applying for here. <br />i_X_ LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including <br />all reads, stockpile areas and any other surface facilities) over the <br />life of the mine, and riust extract LESS THAN 70,000 tons of mineral, <br />overburden or combination thereof per calendar year. If the affected <br />area is scme fraction greater than nine acres, be sure NOT to round this <br />figure out to ten acres in the narratives or else4rhere. <br />' ~ SPECIAL (TEN-DAY PP,OCESSIFJG) operations must disturb LESS THAN ten acres <br />(including all roads, stockpile areas and any other surface facilities), <br />and can ONLY be obtained where a federal, state, county, city, toL~m or <br />saecial district contract calls for ti:ork to be comirenced ~rithin a <br />SPECIFICALLY SN.OR-i TIME. <br />~,l~e hlo. '1~- I I1 <br />(Type or Print Clearly) <br />I. Nan;e of cpe-ation "~'8ndemsaer Pot <br /> (Pit, mina or site name) <br />2. 1Jar-z of applicant/operator Colorado Dtv4s3on of H4ghways <br /> (hams to b used on permit) <br />•3. Address and phone number of 18900 East Colfax Ave. <br /> local offices <br /> .ISI-4377 <br />4. _ _ <br />AdrJ;ess and pF~one number of 4340 East Louisiana Ave. 7J 2- LZ <br />--- <br /> general offices <br /> 757-9224 <br />$. _ <br />tJame and phone number of person .Y,enneth ~isert <br /> staff members should contact <br /> 757-9224 <br />5. ___ <br />Corner(s) of record of affected <br /> land (surfr:ce area) (If more Ivan A. F.nderso~i <br /> than 2, list belc~a) <br />7. O~+ner(s) of substance [o be mined <br /> <br />(1 f n:orc than 2, 1 i st heloir) Ivan A. E .rson <br />' <br />°. Sourc= of legal right to enter _ <br /> (Indicate what type of proof is 0 tion <br /> included in EXHIBIT G - lease, <br /> decd, notarized letter, etc.) <br />y. Tyne of mine E substance to be <br /> mined (Specify underground, strip, ' __ <br />Cl~rw.Pit <br /> op=_r. pit, etc. ~ substance(s) to _ <br /> <br />• ~ ~ n i n r d) 3i+i,~ and Gravel __-_- <br />10 _ <br />General location & elevation <br /> (Miles 6 di rection from nearest Located •i~-mlles~wth of_Arriba _ <br /> to.+n E approximate site eleva° <br /> tion) ~rgximatc Elevation 5100' <br /> <br />Il. County <br /> Liaeoin _, <br />_ <br />I?` __ <br />',cr^_age of effocted lands <br /> (Total surface acreage to be <br /> ir;clud•~d in oe_rmit) fi.32~ Acres __~ <br />13. .~oplication fee (See applicable <br />' ~ <br />00 lwervn.,~) <br />°/~5 <br /> ,ULE to determine amount) <br />F , <br />• <br />(cvFr) <br />