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~~~~~~~® <br /> <br />• <br />• <br />NOV G 1988 <br />LIMITED IMPACT OPERATION (110(2)) <br />APPLICATION FORM <br />-JINEO LARD <br />FiE:CLAiyIATIOM DIVIS10111 <br />The Application fora Limited Impact Operation Reclamation Permit contains three major <br />parts: (1) the Application Form, (2) the Application Exhibits A-F, and (3) the <br />application fee. When you submit your Application, be sure to include two siggned copies <br />of the Application Form, two copies of Exhibits A-F, and a check for the appTi~ion fee <br />described under (4) below, To expedite processing, please provide the information in <br />the format and order described in this form. <br />GENERAL OPERATION INFORMATION Rac.~• I I Z 23 <br />Type or print clearly, in the space provided, all information described below. <br />1. Applicant/Operator Name: City of Colorado Springs, Dept. of Public Works, <br />Pikes Peak Highway <br />2. Operation Name (Pit, mine or site name): CRYSTAL PIT <br />3. Application type: Limited Impact Operation (110). <br />4. Application Fee for Permitted Acreage* 9.7 permitted acres. <br />(E10 x (affected acres) + E25.00).* <br />Note permitted acreage and application fee and <br />attach a check for this amount when you file. .x/2,5 Gb application fee. <br />5. Substance(s) to be mined (e.g., gold/silver/gravel): <br />6. Owners(s) of Substance to be Mined <br />gravel <br />(check applicable box(s)): ~ Private _ State _ Federal _ Indian <br />7. Owner(s) of Record of Affected Land <br />(check applicable box (s )): _ Private _ State X Federal _ Indian <br />8. Type of Mining Operation <br />(check applicable box(s)): X Surface _ Underground _ In-situ <br />9. Location Information. The center of the area where the majority of mining will <br />occur lies in: <br />COUNTY: Teller ~~ <br />PRINCIPLE ER D A c ec one ~ ( 6tty (Colorado) <br />TOWNSHIP (write number and check direr on): T 13 <br />RANGE (write number and check direction): R b8- <br />SECTION (write number): S 18 <br />QUARTER SECTION (check one): X~~ <br />QUARTER/QUARTER SECTION (check one): X NE <br />GENERAL DESCRIPTION: <br />10th (New Mexico) Ute <br />North X South <br />= East ~ West <br />_ NW _ SE _ SW <br />NW SE SW <br />(m11e5 dnd dlreCtlOn 1 mile SW of Green Mountain Falls <br />from nearest town and <br />approximate elevation) elevation 9300' <br />* If the operator is a unit of State or county government, an application fee is not <br />required. A fraction of an acre must be counted as one acre for fee calculation. <br />