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DEPP.RTMENT OF PLANNING SERVICES <br />1555 N. 17th Avenue, Greeley, Colorado 80631 <br />Phone (970)353-6100, Ext.354U Fax (970)304-6498 <br />USE BY SPECIAL REVIEW (MINING OPERATION) APPLICATION <br />FOR THE DE?.4RTMENT OF PLANNING SERVICES USE ONLY <br />Application F~=.e <br />Recording Few <br />Application C pecked 8y: <br />Receipt Number <br />Receipi Number <br />Case Number <br />Zoning District <br />Planner Assigned to Case <br />To be compleh;d by APPLICANT is accordance with procedural guide requirements: <br />I (we), the undersigned, hereby request a hearing before the Weld County Planning Commission <br />concernirn3 a proposed Gravel {aravsl, coal, borrow Dit, etc.) mining operation for the <br />following described unincorporated area of Weld County: <br />LEGALDESCf~IPTION; Legal description in Exhibit P, of Dt4G Permit Application <br />Parcel Numbe°s 131308000030, 131308000D32, 131307000053 <br />P.4RCELNUh1BER: ___________`(12diaitnumber-found on Taxl.D.lnformationor <br />obtained at the .Assessor's Office) <br />2. Surface owner(s) of area of land described <br />Name: _City of Lonqmont _ Address: Longmont Phone: 303-776-6050 <br />Name:s;arv and tAhari M_ Pacrhal Addressa 20 Weld Phone: 303-682- 14 <br />County Rd 1 <br />3. Owner(s) Df mineral rights or substance to be mined <br />Name: City of Lonqmont 4ddressiongmont Phone: 303-776-6050 <br />Name; Garv F~ Mhar-i M. P~schel Address:l0 ~0 IJeld ?hone: 4fi4-fiR?-llal <br />4. Source of applicant's leeal right to enter and to mine on theQan~~esrdfDed: <br />See exhibit N of DMG Permit Annlirarinn <br />(Include certified copy of any document(s) noted <br />5. Applicant':saddress: CAMAS Colorado, Inc. Phone:303-985-1070 <br />Address: _ 36nn c +r, >t,-.-;-Ey- S< eet; s Gal e~resd, GB 8oc35 Phone: <br />Identify any prior permits for mining held by applicant or affiliated person: <br />USR877 19$9 Amended 1998 <br />Description of Operation <br />A. Types and number of operating and processing equipment to be <br />lDc dPrc and S,[ an c ac IIC6 5277 <br />Maa.lmum number of employees: ~ 2 <br />and number of shifts: 2. Monday -Saturday <br />C. Number of stages to be worked: 2 ,and periods of time each is to be worked Stage one i t <br />approximately 3 to 4 years stage two is aonrnximataly R to 4 yParc <br />14 <br />