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<br />~---- <br />' • sP~c III IIIIIIIII'lll'll ~ a ~'~• <br />• Seae+ o? Colorado ~ applicaL'_]n for )i:^..ing wad <br />7epar~eat ]f :+atural 3esaurces ~1Y~{ 2 ~ ~g$~ 3eclamacion ?eraic, pursuant <br />?^~ L_~.W ZC'..lW~?CV 3C.~* co 035 1973, 3''-32-101, et se:, <br />1313 Sherttaa Street, beam 423 <br />Jasrer, CC 80203 (303) 839-3567 MINED LAiJD Fl~CL!1Pv~A'I lUN <br />rEis nom. ..a N^,nre1 RFenlgcoc _. _. _ _... ._. __._..~.. _.-._ _.. _. <br />The foI'_oviag explanacicas cover Lia'_eed 7~pact a?nlicacions (110';) and Soecial (T_an- <br />Oao ?r]cessiag)(Ill's) applications. Ia the interests of a?ficient or]cessiag, ?lease <br />check the anoropriate ben co indicate which t?pe of a?plicatien pet are a?plying `_or <br />beta. Li'_ pewits nay be issued on'_y cedar special circ•.mstaaces. 3a sure ?ou are <br />eli3ible. <br />Ig ,.T:~T~ i'i°9CT OP~.'"IC:iS zest disturb LcS5 T&1.Y tan acres (iacl:id=3 all <br />~"' roads, stockp!1e areas and nay other surdace facLiti_s)-over the L.a of <br />ehe nine, and mxsc e=t=act Le.55 ;°..A.`i 70,000 tons of zaeral, overhurdza or <br />ccabiaatiaa caereof net calendar year. Ir the affected aria is Saxefracrica <br />sorter than n'~e acres, be sure ?IOT to round tFis figure cut to tan acres is <br />the ]ar_atives ar al;evhere. , <br />YC-,~L ('!":_`i-0.1° ?3CCESST2IG) operations m,+at diste:rS I.ISS l'Hd:7 can acres <br />(+~cludrng all roads, stockpile areas and nay other surface .-acilities), <br />wad can ONLY be obtained where a federal, state, count?, city, cove or <br />sneeat district contract calls for vork to be cocs¢eacad vichia a S2SCiIC.li.I.Y <br />SHORT 'rig. <br />(T.?pe or ?tine C1earl?) <br />I. Vaxe of operatics <br />~- <br /> (?it, ai:.e or s'_ee acne) <br /> <br />2. <br />Yatse of applicaatloparatar /~ <br />// <br /> (?;ame to be used on peryi.t) <br />3. address wad ?hc^.e z~ber o: /pQ, ~ ~ ,1~ ~o? O - ~~~/7C1 f /~ . l.~ <br /> 1oc=' °==ices I r <br />D - c~? ' ~ 8 9- ~ <br />+. address and ohaae comber of <br /> ;eaeral o'?ices <br /> <br />5. <br />`one Sad ?bane auxber of person y <br />~ ~ C. G l~ <br /> stai'_ aexbers shouii ceatact ~ -7j~ ~ , .~~ 9 ~ 9~ ~ <br />J ~ <br />f <br />o, C="-r(;) of reeor'_ ei affected sad ~ As~ ~' ~ /~/YC:~ ~ SD /l~s <br /> ! surface are3;(If rota t^a^.3, L'st ':~elov) ~- <br />'. Gc.:.er(s) of substance to be aiaed <br /> .f acre t3aa 2, list belay) <br />S. Scur]e of 1ega1 ri-yht *_o carat <br />(L-d_cate ;i~at type of proos is <br /> lac=::dad _n r..ti"~. SIT G -lease, <br />deed, onta-+_:ed letter, etc.) <br /> <br />9. I <br />Tre of aims substance to ba <br />~:ed (Soeci_? undergreuad, strip, <br /> <br />/1 l~E /Z~ ~~r <br /> <br />i <br />oven pit, etc. S substance(s) to <br />'oe 3iaed) I <br /> <br />~ dY ~ ~ <br />~ <br />- <br />L <br /> <br />1C. <br />;~; e_-Q31`lOC3'-f On ~ el eratiCa <br />i / <br />P <br />C <br />( <br />~~~ ///e ~/Y J / ~ j / /. (' d <br />~ /1 ~ ? /~~ J /7 <br />ya/ <br /> ..___s ,. <br />___cc_on ox nearest <br />L]wn s 399rOS~=.ate site aleration) i <br />i <br />Q ~ ~ n ~7- ~ <br />Il. CcaZt? ~ <br />I3. _creage or a_rected_aads j <br />(Toc_ ;ur'_ace acreage :^ be <br />_~' ]tied in pe =_) ~ /1 ~ ~- .~ .S ~. :~ <br />r <br />~3. apoi_catien fee (See a]alicable d~y <br />3i.i co deteri,.e 3aocac) ~ 'mil -~ r n ~. <br />_ re52nt .3n L52 (..2., agri- <br />_~. ?r^p052d L__ ~_ .anG '15a i ~~r--c-. <br />~ /I <br />~~ ~~~ ~~/ <br />.~r ~_ <br /> <br />'L <br />~ .•e-) <br />