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{ r_ ~~ • <br />~_ <br />• <br />LIMITED IMPACT AND SPECIAL (TEN-DAY) <br />PERMIT APPLICATIOti FORM <br />~3 ,~~III 11111111111 <br />uL~~E~ <br />STATE OF COLORADO ., ":,-1 Application for Mining <br />I•tined Land Reclamation Board _ and Reclamation Permit, <br />Department of Natural Resources Pursuant to C.R.S. 1973, <br />1313 Sherman Street, Room 723 ,:;~i' 1 ~Jrp 34-32-101, et seq. <br />Denver, Colorado 80203 <br />LII4ITED IMPACT OPERATIONS must 3is>:urb T,ESS" TITAN'-'ten acres (including all <br />roads, stockpile areas and any'o[lier"surEa~eti~aCil-i;ties) over the life of <br />the mine, and must extract LESS THAN 70,000 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 must disturb LESS THAN ten <br />acres (including all roads, stockpile areas and any other surface <br />facilities), ant' 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 />i~r ~YA _ ~~-~~~ <br />1. Name of operations Riley Gravel Pit <br /> (Pit, mine, or site name) <br />2. Name of applicant/operator Jackson County <br />Ce~esade <br /> (Name to be used on permit) , <br />3. Address and phone number of P n R[,~x 337 <br /> local offices <br />4. Address and phone number <br />1'-0. sox 'i37 <br /> of general offices Walden <br />5. Name and phone number of person c7~ na r_oo,- r ~ <br />y e Rd S~ <br />esv (ae3) 7aa- <br />~~e <br /> staff members should contact p <br />~ <br />_i <br />6. Owner(s) of record of affected David id~~am R~'e <br /> <br />land (surface area) ~ <br />P.O. Box 187 <br /> (If more than 2, list below) Walden Colo <br />7. Owner(s) of substance to be mined David William Rilev <br /> (If more than 2, list below) <br />8. Source of legal right to enter Lease - An Agreement Fnr Tha Mining nF Sa nrl F, <br /> (Indicate what type of proof is <br /> <br />included in Exhibit G - lease, deed, <br />Grav <br />See Rxh;h;r r. arrarh e <br />~ <br /> notarized letter, etc.) • <br />9. Type of mine 6 substance to be mined _Open P;r Sand and rra.ral <br /> (Specify underground, strip, open pit, <br /> etc. and substance(s) to be mined) <br />0. General location 8 elevation (Miles Approximately 8 miles northwest of Gnuld <br />cnln <br /> 6 direction from nearest town 6 <br />a <br />roximate site elevation) , <br />Elevation = approximately 8,600 feet. <br /> pp <br />1. County Jackson <br />2. Acreage of affected lands <br />(Total surface acrea <br />e t <br />b <br />'i_R44 ar rac <br /> g <br />o <br />e <br />included in permit) <br />3. Application fee (See applicable Rule 565.00 <br /> to determine amount) <br />X660 <br />el <br />radol' <br />