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. ;. <br /> <br />:, <br />LIMITED IMPACT (110) and <br />~~~~~ ~J <br />SPECIAL TEN-DAY (111) PERHIT ~C'r 6' 986 <br />APPLICATION FORM <br />MIP~ED LAhD <br />State of Colorado A~~ti]Ic~GFb~31Cfl~f CDAiJik~i~ll~nd <br />Department of Natural Resources Reclamation Petmit, pursuant <br />MINED LAND RECLAMATION BOARD AND DIVISION to 34-32-101, CRS 1973, <br />1313 Sherman Street, Room 423 as amended <br />Denver, CO 80203 (303) 866-3567 <br />m- ~-1~1 <br />The following exolanati ons cover Limited Inpact applications (110's) and Special (Ten- <br />Day Processing - I11's) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which tupe of application you are applying <br />for here. 111 permits may be issued only under special circumstances. Be sure you <br />are eligible. <br />~MITED IMPACT OPERATIONS must disturb Less than ten acres (including alI 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 sore fraction greater than nine acres, <br />be sure NOT to round ;his figure up to ten acres in the narratives or elsewhere. <br />SPECIAL (ten-day processing) cperations are any sand, gravel, or quarry aggrecates <br />operaticns which are to be operated foz 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 tails for work <br />to be coru:enced 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 duplicate. For further guidance and infcrmation for <br />I~mited Impact Operations, see RULE 3 and for Special Permits, see ROLE 4. <br />(Type or Print Clearly) <br />1. Name of operation <br />(Pit, mine or site name) Fondis Pit <br />2. Name of applicant/operator <br />(Metre to be used on permit) Elbert County <br />3. Address and phone number of p 0. Box 597 <br />Zoca2 offices Kiowa, CO 80117 621-2348 <br />4. Address and phone number of <br />general offices Same as above <br />5. Mane and phone nu:.ber of person Rick Ullom, Quality Control Manager <br />staf_` meabers should contact Road and Bridge Department 621-2348 <br />