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<br />pF ~~~0 <br />~~ ~9 <br />F~ O <br />H ~. O <br />**~ ':~~ ; <br />' X876 ~' <br />Richartl D. Lamm <br />Governor <br />NOV 211984 <br />MINED LAND RECLAMATION DIVISION <br />L I M I 1~9• ~A@fTN~V~1 g~lf~ <br />SPECIAL TEN-DAY (111) PERMIT <br />APPLICATION FORM <br />Application for Mining and Reclamation Permit, pursuant to C.R.S. 1973, 34-32-101, <br />et sec, as amended. <br />The following explanations cover Limited Impact applications (110'5) and Special <br />(Ten-Day Processing - 111'5) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application you are applying <br />for. 111 permits may be issued only under special circumstances. Be sure you are <br />eligible. <br />~-~ LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of the <br />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 up to ten acres in <br />the narratives or elsewhere. <br />~-~ SPECIAL (ten-day processing) operations are any sand, gravel, or quarry <br /> aggregates operations which are to be operated for the sole purpose of <br /> obtaining materials for highway, road, utility, or sim ilar-type construction <br /> under a Federal, State, county, city, town, or special district contract where <br /> the contract calls for work to be commenced within a specifically short time <br /> and which will affect ten acres or less (including all roads, stockpile areas, <br /> and any other surface facilities). <br />INSTRUCTION: This application and all accompanying materials as outlined below must be <br /> submitted in duplicate. For further guidance, and information for Limited <br /> Impact Operations, see Rule 3 and for Special Perm its, see Rule 4. <br /> (Type or Print Clearly) <br /> ~f7r <br />1. Name of operation <br />(Pit, mine or site name) ~1 R S T <br />E3 ~>v ~o N , rE <br />C'o-'-~ ,? o ~ Coco. <br />2. Name of Applicant/Operator <br />(Name to be used on permit) FI~ ST~ aE•(/7(~1yIT.(~ COM ~ bh ~pLU. <br />iiiiuiiiiiiiiii <br />999 <br />• <br />• <br />DEPARTMENT OF NATURAL RESOURCES <br />David H. Getches, Executive Director <br />MINED LAND RECBC~UE~~DI~ <br />DAVID C. SH ELTO N, Director <br />423 Centennial Building, 7313 Sherman Street Denver, Colorado 80203 Tel. (303) 866.3567 <br />