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LIMITED IMPACT (110) and
<br />.' ~PECLAL TEN-DAY (111) PER*tIT
<br />~PLICATION. FORM -, z.z
<br />State of Colorado
<br />Department of Natural Resources
<br />MINED LAAT1 RECLAMATION BOARD ~ ~;~ ;; ~ ~!~
<br />1313 Sherman Street, Room 723
<br />Denver, CO &0203 (303) B39-3567q. ~.~
<br />• ~~-`~~Illllllllllllllllll --
<br />r, L, , ~ 5 sss
<br />~ 1
<br />Application for Mining and
<br />Reclamation Permit, pursuant
<br />to CRS 1973, 34-32-101, et seq
<br />i~ i\I~, ~c~_ ~i
<br />The following explanations cover Limited Impact applications (110's) and Special (Ten-
<br />Day Processing)(111's) applications. In the interests of efficient processing, please
<br />check the appropriate box to indicate which type of application you are applying for
<br />here. 111 permits may be issued only under special circumstances. Be sure you are
<br />eligible.
<br />LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including all
<br />roads, stockpile areas and any other surface facilities) over the life of
<br />the mine, and must extract LESS THAN 70,000 tons of mineral, overburden 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 out to ten acres in
<br />the narratives or elsewhere.
<br />SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres
<br />(including all roads, stockpile areas and any other surface facilities),
<br />and can ONLY be obtained where a federal, state, county, city, town or
<br />special district contract calls for work to be commenced within a SPECIFICALLY
<br />SHORT TIME.
<br />(Type or Print Clearly)
<br />1. Name of operation ,,,,~.,;~,~,~„ (,~,~ye,y„
<br /> (Pit, mine or site name)
<br />2. Name of applicant/operator '
<br /> (Name to be used on permit)
<br />3. Address and phone number of ~:-'~~' $S.xeet
<br /> local offices of rado 8L'i9~~ 343? 539-2215
<br />4. Address and phone number of 305 "G" Street
<br /> general offices Salida Colorado 81201 303 539-2215
<br />5, Name and phone number of person
<br /> staff members should contact ,,,,
<br />303 ~-~-±5-
<br />6, Owner(s) of record of affected land James L, Treat
<br /> (surfaceazeaXIfmorethan2,listbelow) Wanda L Treat
<br />7. Owner(s) of substance to be mined James L. Treat
<br /> (If more than 2, list below)
<br />8. Source of legal right to enter
<br />(Indicate what type of proof is
<br />Permit for removal of sand and
<br />ravel
<br /> included in EXHIBIT G - lease,
<br />deed, notarized letter, etc.)
<br />from Owner - Deed
<br />9. Type of mine 6 substance to be
<br />mined (Specify underground, strip,
<br />.Fit - 'at'td' gavel
<br /> open pit, etc. S substance(s) to
<br />be mined)
<br />10. General location S elevation
<br />(Miles S direction f
<br />m n
<br />t Elevation 7 , 200 feet
<br />A roximatel 1 mile'- Sortb~-the Cit Of
<br /> ro
<br />eares
<br />town & approximate site elevation) ~~tdg N ~~ l~
<br />11. Connty
<br />~t€+e~e
<br />12. Acreage of affected lands
<br />(Total surface acreage to be )II
<br />included in permit)
<br />
<br />.:~; g [4~
<br />13. application fee (See applicable
<br />RULE to determine amount)
<br />14. Present land use (i.e., agri- Histori G Pi i in
<br /> cultural, industrial, etc.)
<br />i5. Proposed future land use r to indig~no ~ ond; ion.
<br /> (Goal of reclamation) nnnr ranoal an fl
<br />(over)
<br />
<br />
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