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<br />~~ <br /> ~ <br />1 <br />nE COi~ 11 11 111 111 1111 111 1 I <br />, <br />~~ ,p9 aaa <br />~e p~ DEPARTMENT OF NATURAL RESOURCES <br />* ~~ * Dav~tl k, Gerchea. Executive Direcror <br />" ~ ~"° "~ MlNED LAND RECLAMATION DIVISION <br />} X876 x ELTO N, DlrOetor <br />Richartl D. Lamm RE~~~~D ~ <br />Governor <br />JUN 51984 <br />LIMITED IMPACT (110) AND <br />MINED LAND RECLAMATION DIVISIOt~GPECIAL TEN-DAY (111) PERt•1IT <br />Colo. Dept of Natural Resources APPLICATIOIJ FORM <br />Application for (lining and Reclamation Permit, pursuant to C.R.S. 1973, 4-32-101, <br />et se q, as amended. <br />The following explanations cover Limited Impact applications (110's) and Special <br />(Ten-Day Processing - 111's) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application y u are applying <br />for. 111 permits may be issued only under special circumstances. Be su a you are <br />eligible. <br />[] LIMITED IMPACT OPERATIONS must disturb less than ten acres (i iuding 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, over urden 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 o 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 p rpose of <br />obtaining materials for highway, road, uti]ity, or similar-ty e construction <br />under a Federal, State, county, city, town, or special distri t contract where <br />the contract calls for work to be commenced within a specific lly short tune <br />and which wil] 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 outlin d below must be <br />submitted in duplicate. For further guidance, and infottn tion for Limited <br />Impact Operations, see Rule 3 and for Special Permits, se Rule 4. <br />(Type or Print Clearly) <br />1. Name of operation ;~)~'6LiL~Cr^F h~ti~ Cal~~~ .y ~u`/ <br />(Pit, mine or site name) / <br />C~G 0.!'/'m ~/ /~') P/act e u~ S <br />2. Name of Applicant/Operator ~~~•ti~lir~ /~G'/~c~' C<i~'e ¢ ~~/J1 <br />(Name to be used on permit) <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />