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<br />i <br />_~ .- -• ~a-~ao <br />' ~ ~SPECIALE~~(23~)~~p~ll2~.~ III III'IIIIIIIIIIII <br />APPLICATION FbR1(! -'~ <br />999 <br />State of Colorado j E F 2 y I~~r~~ Application for Mining and <br />Department of Natural Resources ~ Reclamation Permit, pursuant <br />MINED LAND RECLAMATION BOARD AND pN t0 34-32-1OZ, CRS 1973, <br />~IY~~~ `Ai~G R:~';~ ;14i,17i.;p~ as amended <br />1313 Sherman Street, Room 423 <br />Denver, CO 80203 (303) 866-3567 Ge!o. Dept. 01 A'atural {desc~~;~es <br />The following explanations cover Limited Impact applications (120's) and Special (Ten- <br />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 />for here. 111 permits may be issued only under special circumstances. Be sure you <br />are eligible. <br />~fLIMITED IAfPRCT OPERATIONS must disturb Iess than ten acres (including aZl 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 nifie 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 cocmnenced within a specifically short time and which will affect ten acres <br />or Iess (including all roads, stockpile areas, and any other surface facilities). <br />INSTRUCTION: This application and a12 accompanying materials as outlined below must <br />be submitted in duplicate. For further guidance and information for <br />Limited Impact Operations, see RULE 3 and far Special Permits, see RULE 4. <br />(Type or Print Clearly) <br />1. Name of operation <br />(Pit, mine or site namer) <br />"" `N' """ C"~"' ~" ~ <br />2. Name of applicant/operator <br />(Name to be used on permit) ~~ ~ R:.,..A,._ <br />3. Address and phone number of <br />local offices <br />4. Address and phone number of <br />general offices <br />I.O. Qux 1061, <br />81428, 527-~5 <br />Smne <br />J425 ~5 Lane, 1'aDnia, ~0 <br />5. Name and phone number of person %~ ~, ~/~ <br />staff members should contact <br />5~-~5 <br /> <br />