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LIMITED IMPACT (110) and III ~IIIII~II~~IIIfI <br />SPECIAL TEN-DAY,..(Illl PE~`tIT 11 <br />a•P3Tl~iC:~T10N ',PORES sss <br />'' k Js~r- <br />State of Colorado Application for Mining and <br />Department of Natural Resources r,`~J - ~)yp'~ Reclamation Permit, pursuant <br />MINED LAND RECLAMATION EOARD to CRS 1973, 34-32-101, et seq <br />1313 Sherman Street, Room 723 <br />' ~ <br />~ _ - ~~~~rt <br />•,~' 7 ~ IOf~ <br />rr <br />. <br />Denver, CO 80203 (303) 839-3567 . _: <br /> ial Resources <br /> <br />The following explanations cover Limited Impact applications (110's) and Special (Ten- <br />Day Processing)(111's) applications. In the interests of efficient processing, please <br />check the appropriate box to indicate which type of application you are applying for <br />here. 111 permits may be issued only under special circumstances. Be sure you are <br />eligible. <br />I ~I LL~fITED L~fPACT OPERATIONS must disturb LESS THAN ten acres (including all <br />LJ roads, stockpile areas and any other surface facilities) over the life of <br />the mine, and must extract LESS THAN 70,000 tons of mineral, overburden or <br />combination thereof per calendar year. If the affected area is some fraction <br />greater than nine acres, be sure NOT to round this figure out to ten acres in <br />the narratives or elsewhere. <br />SPECIAL (TEN-DAY PROCESSING) 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, town or <br />special district contract calls for work to be commenced within a SPECIFICALLY <br />SHORT TL*SE. <br />(Type or Print Clearly) <br />1. Name of operation FREMONT COUNTY DISTRICT #2 GRAVEL PIT <br /> (Pit, mine or site name) UNION MILL HILL <br />Z. Name of applicant/operator COMMISSIONER JOHN BUGLEWICZ '~ ~=y.erno~T ~OV~~- <br /> (Name to be used on permit) P,O. BOX 1007, CANON CITY, COLORADO 81212 <br />3. Address and phone number of P,O. 80X 1007, CANON CITY, COLORADO 81212 <br /> local offices ~ (303) 275-1511, EXTENSION 13 <br />4. address and phone number of P,O. BOX 349, CANON CITY, COLORADO 81212 <br /> general offices ~ PLANNING & ZONING OFFICE, (303) 275-1511, EXTENSIOP <br />5. Name and phone number of person BARTO BABITZ, PLANNING DIRECTOR <br /> staff members should contact p,0. BOX 349, CANON CITY, COLORADO 81212, (303) 27! <br />6, U.rner(s) of record of affected end FREMONT COUNTY DISTRICT #2 <br /> (surface area)(If more Ghan2,list below) FREMONT COUNTY BOARD OF COMMISSIONERS <br />7. Ocmer(s) of substance to be mined FREMONT COUNTY DISTRICT #2 <br /> (If more than 2, list beloca) FREP40NT COUNTY BOARD OF COMMISSIONERS <br />e. Source of legal right to enter <br />(Indicate what type of proof is DEED IN FREMONT COUNTY'S NAME - SEE ENCLOSURE <br /> included in E.~iIBIT G - lease, <br />deed, notarized letter, etc.) <br />9. Type of mine & substance to be <br />mined (Specify underground, strip, OPEN PIT SAND AND GRAVEL SOURCE <br /> open pit, etc. S substance(s) to <br />be mined) <br />10. General location 5 elevation <br />(Mil <br />6 d <br />i <br />f JUST NORTH OF THE ARKANSAS RIVER AND EAST OF COLOR{ <br /> es <br />irect <br />on <br />rom nearest <br />town b approximate site elevation) <br />STATE HWY. 67, ELEVATION 5260 <br />11. County ' FREMONT <br />12. P_creage of affected lands <br />(Total surface acreage to be <br />included in permit) 9.89 ACRES <br />13. aoplication fee (See applicable <br />RLTL3 to determine amount) NONE <br />1:. Present land use (i.e., Agri- GRAVEL SOURCE <br /> cultural, industrial, etc.) <br />:.5. Proposed future land use PROBABLE EXPANSION OF ADJACENT EXISTING SOLID WAST' <br /> (Goal of reclamation) DISPOSAL SITE <br />(over) <br />150 <br />-15} 1 <br />.DO <br /> <br /> <br />