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:~ • ~ • iii iiuiiiiniii iii <br />LIMITED It~ACT AND SPECIAL (TEN-DAY) <br />" PERMIT APPLICATION PORM <br />STATE OP COLORADO R EC EI V E ~ Application for ?Suing <br />lLiaed Land Reclamation Board sad Reclamation Permit, <br />Department of Natural Resources Pursues[ to C.R.S. 1973, <br />1313 Sharman Street, Room 723 34-32-101, at seq. <br />Deaver, Colorado 80203 fVIAR 2 - 1978 <br />LIMITED IMPACT OPERATZIOfi>'~9~AW[31Q~6pRMl~~~ THAN ten acres (ineludiag all <br />roads, stockpile area8o.~9epilaPf pa~eg! N~,yg~~~ facilities) over the life of ~ <br />the mina, sad must extract LESS TRAM 70,000 tone of mineral, overburden <br />or combination thereof per calaadar year. If the affected area la some <br />fFaction greater than nine aczes, be sure NOT to round it up to cnn acres <br />in the narratives or elsewhere. <br />SPECIAL. (TEN-DAY PROCESSING) operations must disturb LESS THAN ten <br />acres (iacludiag all roads, stockpile areas sad any other surface <br />facilities), sac' can ONLY be obtained wham a federal, state, county, <br />city, town, or special district contract calla for work to be <br />commenced within a SPECIFICALLY SHORT TBS. <br />TYPE OR PRINT CLEARLY <br />,~` / ~ 702 <br />1. Nara of operations Brent Pit - Borrow _ <br /> (Pit, mina, or site same) <br />2. Name of applicant/operator Lincoln County <br /> (Noma to be used on permit) <br />3 Addzaas sad phone number of Lincoln County Court House <br />. local offices Hu o Colo. -2 <br />4. Address sad phone number Same <br /> of gmeral officra <br />5 Name sad phone number of person J.R.Owen <br />. staff members should contact I 743_2337 or 7l~3-2209 <br />6 Owner(s) of record of off=cted State of Colorado - Leased to <br />. lead (eurfaca area) S.H. Brent ~• <br /> (If more than 2, li3t below) <br />7 Owner(s) of substaaee to be mined Som <br />. (I! more than 2, list below) <br />8. Source of legal right to enter See Exhibit "G" <br /> (Indicate what type of proof is <br />included in Exhibit G - lease, deed, <br /> notarized letter, etc.) <br /> e to be mined <br />t <br />b <br />b Horrow dirt - open ait. _ <br />9. anc <br />su <br />s <br />Type of mine <br />(Specify underground, strip, open pit,l <br /> etc. sad substance(s) to be aired) <br /> <br />~ <br />Qilss <br />(' <br />i <br />Seven miles north and one mile <br />L0. . <br />cn <br />General locaCioa 6 elevat <br />b direction from nearest :own S west of Arr•iUa, Colo. <br /> approximate site e'_evation) <br />L1• County Lincoln !_ <br />L2. Acreage of affected lands 1.75 Acres <br /> (Total surface acreage to be <br />included in permit) <br />L3: lication fee (See applicable Rule <br />A 5 GO .- <br />k3 <br /> pp <br />to determine amauac) , <br />r <br />