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-. <br />LI:IITED I`SPACT A`:D SPECI'd. (T~::-DAY) <br />PER:~IiT APPLICA'_I0:1 FUR:: <br />nl 3~ <br />'11 \ ~~ OD <br />C`+y ~~ <br />>~, <br />STATE OF COLOR.IDO <br />Tti Wed Land Reelacacion Beard <br />Department of ha [oral Resources <br />1717 Sherman Street, P.ocn 727 <br />Denver, Colorado 00207 <br />w GE~v ,~~ <br />SEp +.-cioN <br />~p~P~~~,;d, S'~' .;,,ICps <br />~rLG DeP~• °~ ~:... <br /> <br />M <br />a <br />Appl ica[Son Eoc !laing <br />and Re clanatien Permit, <br />Pursuant to C.P.S. 1973, <br />34-7:-101, ec seq. <br />LI:IITEO I`PACi OPERATIO!7S must disturb LESS T:'_~L`I ten acres (including all <br />roads, stockpile areas and any other surface Eacfl'_ci es) over the life o` <br />[he mine, and .ust exc:aC[ LESS TF'-4:1 70,000 cons o° clneral, overhurdm <br />or to¢bira Lion thereof per calendar year. If the affec [ed area is sn-e <br />fraction greater [San nine acres, be sure 110: to :pond 1t up co [en acres <br />Sn [l:e narra [1•+es or els evhere. <br />SPECIAL (iE\-OA7 2.°.OCESSI\G) ope-ac :ons oust disturb LE55 T:~.L'1 ten <br />acres (including ail roads, stocko i'_e areas and any ocher surface <br />facilities), and can OVLY be a6tained where a federal, state, county, <br />city, to'.m, or sp_cial dis tric[ contract calls for wor:: co be <br />comaeaced within a SP ECIFICAiLY SHOdT TL`fE. <br />GOO' 1. i:ame of aperatlons <br />(Pit, mine, or site name) <br />2. t:ame~of applicant/opera tc: <br />(Va.:.e to be used on perzic) <br />3. Address and phone Huber of 1309 S. 11th (Box 1001) Canon Cit-+ CO <br />loca_ off lc es 181212 303-275-75ii <br />4, Addtess and phone a~.imbc: Sase as Eboee <br />of general offices i <br />5. \ame and phone Hobe: o° person <br />staff aembers should contact <br />~F rd Fueller 275-x;55 <br />State of Colorado _ <br />I-S <a to Odr dnd Commissone r$ <br />7. Owner(s) of substance [o be mined IState o` C In i <br />(If Wore Chan ?, !_st below) <br />6. Owner(s) of record of affected <br />land (Satf 3Ce arCd) <br />(If Wore than 2, list be'_cti) <br />B. Source of 1e7a1 :fight ca enter Ian-~& lracn (;~+lbg .T+•ne 14 '~_ <br />(Ind lcace what type of proof i. <br />included in Exhih is C - lease,^deed, ~ClaV less~~~7411b_~c',~hcr 1L lc7f•_ <br />ao [arized Letter, etc.) <br />1D. Oene r: laca COn ele•ncion (!".i les <br />b dire¢ion f:c~ net rest u:-~ v <br />appro:dro_e site ^__evat icr.) <br />9. Type of mite S sustance tc be minad i~CiL]'i t- Ri p qa-. R~;yd o~^al S'~~-s~- <br />(SpeciEy unde^;: ou-d, s:: i?, open ?-:,Idecora[ive rocky=ui d' + n~ 1.~ <br />etc. and substance{si :o be -iced) ~~~~~t'~'~-~ <br />11~ Coon cy iPcebiJ <br />1.. Ac rece_ .: i ice ced lands ~e q ACro$ <br />lTotal sur_`ac_ at: ca~^ L. be j=-- <br />i~<lud=_d in 9erli t) (Lease: 6i0 c res <br />13. :.?p__w cion `-_ {fee app L'caG La .'.'.!. i.h°i '7c ~_ <br />[o da term fine c_oui_) , <br /> <br />