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,; <br />! ~ • <br />III IIIIIIIIIIIII III <br />DEPARTMENT OF NATURAL RESOURCES <br />David H. Gelchea, Eaecutrve Director <br />MINED LAND FiECLAi11'u6~1'ION DIVISION <br />DAVID C. SHELTON, Director <br />Richartl D. Lamm ~ i ,{, ~ ~ -''.'r`~ .. c•, ,.. _ <br />Governor ~ ~, C... "~'!~•,~!~ ~~ '. •~I <br />~~ <br />1 t <br />f 1 ~' <br />~b <br />~ ~, ~ t :!!.:~ <br />a `l <br />•. i <br />N-y <br />y y~,. <br />'JUN 18 1985 SPECIALETENI-IDAY i (1 i 1) )FERMI T <br />APPLICATION FORM <br />Application iPor~~Min~ing..atsd~;Rgcl,~ma ion Permit, pursuant to C.R.S. 1973, 34-32-101, <br />et she as amended. ~ ~~ ~~S ~ ~(O52 ~.SS. D ~ <br />The following explanations cover Limited Impact applications (110's) and Special <br />(Ten-Day Processing - 111's) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application you are applying <br />for. 111 permits may be issued only under special circumstances. Be sure you are <br />eligible. <br />I~,I LIMITED IMPACT OPERATIONS must disturb less <br />roads, stockpile areas and any other surface <br />mine, and must extract LESS THAN 70,000 tons <br />combination thereof per calendar year. If t <br />greater than nine acres, be sure NOT to roun <br />the narratives or elsewhere. <br />than ten acres (including all <br />facilities) over the life of the <br />of mineral, overburden or <br />he affected area is some frartioi~ <br />d this figure up to ten acres in <br />I-I SPECIAL (ten-day processing) operations are any sand, gravel, or quarry <br />aggregates operations which are to be operated for the sole purpose of <br />obtaining materials for highway, road, utility, or similar-type construction <br />under a Federal, State, county, city, town, or special district contract where <br />the contract calls for work to be commenced within a specifically short time <br />.and which will affect ten acres or less (including ail roads, stockpile areas, <br />and any other surface facilities). <br />INSTRUCTION: This application and all accompanying materials as outlined below must be <br />submitted in duplicate. For further guidance, and information for Limited <br />Impact Operations, see Rule 3 and for Special Permits, see Rule 4. <br />Name of operation <br />(Pit, mine or site name) <br />2. Name of Applicant/Operator <br />(Name to be used on permit) <br />(Type or Print Clearly) <br />~/V.Qdv ¢ v- <br />~v-c~t.l~~~ rn a ~~~~; ~ <br />G~ <br />r.~ (:0 ~Q V l V v <br />~,~ c) Irc'rtP <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866.3567 <br />~,y <br />