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<br />LIPSITED IMPACT AND SPECIAL (TEN-DAY)
<br />' PERMIT A_pPLICATIO"~ FORM
<br />STATE OF COLORADO R ECE[VED, Application for Mining
<br />dined Land Reclamation Board and Reclamation Permit,
<br />Department of Natural Resources ~C T 3 Pursuant [o C.R.S. 1973,
<br />1313 Sherman Street, Room 723 1977 34~-32-101, et seq.
<br />Denver, Colorado 80203 F'EC~gp,~grlON g
<br />~,.i~ ,~ ECTI01~
<br />LIMITED IMPACT OPERATIONS mus~~i~6fs~tisrb ~LFs$S.,,T AN ten acres (including all
<br />roads, stockpile areas and any other surface~faciliticr,) over the life of
<br />the mine, and must extract LE5S THAN 7C,000 tons of mineral, overburden
<br />or combination thereof per calendar year. If the affected area is some
<br />fraction greater than nine acres, be sure NOT to round it up to ten acres
<br />in the narratives or elsewhere.
<br />SPECIAL (TEN-DAY PROCESSING) operations m+rst disturb LESS THAN ten
<br />acres (including all roads, stockpile areas and any other surface
<br />facilities), anr' can ONLY be obtained where a federal, state, county,
<br />city, town, or special district contract calls for work to be
<br />commenced within a SPECIFICALLY SHORT TIME.
<br />TYPE OR PRINT CLEARLY
<br />1. Name of operations ~ ,~ v E t ~ P , T a `~ )
<br /> (Pit, mine, or site name) `
<br />2. Name of applicant/operator ~ Tia cw C
<br />~it4 :V~~/
<br /> (Name to be used on permit) '
<br />
<br /> CC~....+T•( G..nM/Y1~SS:o~•tf.,LS
<br />3. Address and phone number of ~c,~L-,~,,..-,~
<br /> local offices (
<br />
<br />4. Address and phone number
<br /> -
<br /> of general offices i-
<br />--
<br /> s<a~i`1-~L-h n::iM a•V U.~.~T UM~v~~l ;.C Nfc
<br />5. Name and phone nuu~ber of person
<br /> staff members should contact I12uo¢~z~' ,~.,,P :zn.T •- -u«arH~.~;h
<br />`
<br /> c:; ..cz 92.
<br />I4el12sti~ so~n~+z r.zA~;~ s_
<br />6. Owner(s) of record of affected r j„~ I2~+TL + F ~=
<br /> Land (surface area)
<br /> -
<br /> (If more than 2, list below) -'~`-'--- -
<br />7. Owner(s) of substance to be mined '~. 1,~ , ~q r (1 FF.___
<br /> (If. more than 2, list below)
<br />B, Source of legal right to enter i ~ ~ ~~~~
<br /> (Indicate what type of proof is I ,
<br /> included in Exhibit G - lease, deed, I _ __
<br /> notarized letter, etc.) ' _ __
<br /> -t "~`--
<br />9. Type of mine 6 substance to be mined ~gۥ.+ J: ~" - G a.= .~ ~ Rc~rz 2~.a n s
<br /> (Specify underground, strip, open pi i
<br />t,
<br />
<br />etc. and substazi~_e(s) to be mined) ~ _
<br />_- - __- -
<br />0. General location b elevation (Miles ' -
<br />rx.c:.v 45'!u .t• ! Si5_,.~~L4 5 ~,.rr+ c, r_ _
<br />.
<br /> b direction from nearest town 6
<br />s```"T"" Q'
<br />~
<br />+d-~a'
<br />~''L+~4
<br />~R' r` =~~"~~
<br /> approximate site elevation) ~-
<br />-
<br />-
<br />-r-
<br />-
<br />
<br />1.' County
<br /> cA
<br />
<br />2,
<br />Acreage of affected lands ___
<br />
<br />(
<br />4
<br /> Acrt~S
<br />.
<br /> (Total surface acreage to be
<br /> included in permit} '
<br />3, Applicatien fee (See applicable Rule ~ ____
<br /> [o determine amount) ~____~____ __
<br />7~J/
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