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~ S?`~ ~~~~. rat=-_~~ `=~ati ~ ~-'L= ~ 1111111111111111111 <br />999 <br />State of Calcrado 1.oolicatian EJr :L'ai::g ar_d <br />7e~ar~ent of :~atur3l 3zsources ~~+* ~~! Y ED ~zclanatioa 2err,_ir, ~ur3uaa: <br />`mTSD _~.2lD .'...°CL_;"~T'C:f ?4~~*, .®, a r co f.~i5 1?i3, ?S_32_1~7i ~ zc seg. <br />'_3i3 Shec'san Street, Zoos 42.1 <br />Dza•rer, CO 80003 (SOS) 334-Lo~ (1~~..R 22 1989 $ z~ L`~ . <br />.se Eol_or,-in3 Lcolanaci:as c ~~ ~ atDL'cat_Jns (1_0's) and Soecia'_ (~~n- <br />iJf~[i1t~;ro R '~~~ ~~~• <br />Dav 2rrcess~ag}(.11's) a:ppl~b ~rst. z tpi<Q~s c[ z..icienC ?rocessic;, ?1233e <br />che~~C the appropriate bex co ica_~~E~f• ~tUC3LPn7fi'llsi£0®?olic3t.on ^ou are a??1y-! :g .Jr <br />here. Ii_ aeriica nay ce issuzd onl? ~.dzr spec_a1 cir~ ^stacces. 3e surs ?ou are <br />eligi5le. <br />Li~~ i"?9C':' 0???dI~C:IS ass: d'_;t:xrS ~~SS :3S,v ten acres (iacl:sdiag ai! <br />roads, stoccpile areas and aa? ocher sur:ace Eac',11t'_2s) over c`:e 11a JE <br />[he nine, and asst extract LcSS 1'~l:f iO,000 tons oE =aeral, J•rerburdea or <br />c.^~sinat'_on chereo: eer caizcdar bear. L: the a?`=_cted area is sore :caccica <br />3reater than n_ae acres, be sure v0i to round = is E'_gs:re cut to tea acres __ <br />cue carrati•:es or eL;avhere, <br />S?SCu.T. (' =`i-Dd_ ?SOC~SS~IC) operations sus: dis[trb LZSS =~;;7 tea acres <br />('~cludi=g all road:a, sccc:cnila areas and aa;r ocher sur=ace ;acilit'_ss), <br />and can 0`11.7 be o6c:i=ced Thera a Eaderai, sc3te, count?, c_~~, cow or <br />sneci3l discr'_et contract calls Ear work to be co~eacad •richia a S?EC~IC.;:i'L <br />(T_?pe Or 2:iaC Cl2d.IT) <br />1. vase cE ooeracicn (, ' ...c ' <br />(?'_t, sine or site cane) ~'-- - . <br />2, vane o? aopL:cant/operator ~ -l' ,r: r ,,,.:_ ~ <br />(".arse co 5e used on ?eri:) <br />3. Address and ono^.e a~..ber o: ~ ,_) /~t.•/i ~ r~~~,~ ~Z~e ~ ~G~.S <br />!acsl aE_'iczs <br />S. :address zed thane amber cE <br />;eaeral o:Eices <br /> <br />5. `Tans and ?hcae c•.~er of ?arson ~r /%" / (/r/' ~ i ri,( i.:'. za. <br />it3iE yetlb Lr3 ah0 nld CCnrd,_t ~ C'~ -.+ry i'! S -C/L~ F 5- ~~,nr1 <br />o, ~.-ar(3) Jc -ecJrioi a.:'_ected_sad ~Cc/~~~7` ~/~.lS'.~.2 <br />(51rr3C2 ar Z4 ;(fit 70:_ C..an 2, !'_it .:elo.1)~- <br />i <br />,. u~-eris) o: substa:ce to ~e :1~ed n'. <br />,:? ante [sea 3, list Se1JU) <br />S. Source o'_ '_egal _3hc co triter <br />(medicate ;mat t?pe of ?roof is <br />;.3cluded is ?3~~I' G - Ltase, <br />deed, noca:'r:ed letter, etc:.) <br />9. '..-1e of ai=e a substance ce be I n <br />iced (Spec=:? ~der~-toad. stri?, i~CiT,:. <br />open ?ic, ztc. S subs cancels) co <br />beamed) <br />L0. General laterite S e'_evaticn ~ / p~ ' '"' <br />("?'es S d_rect'_Jn Eroz nearest ~ /"' <br />t.o'izx s 3r Dr JT'=.aC_ 51=2 2:e Vat ~On) (~„ /: <br />li. caner- ~ ,,ti'. fv ~.? ~~,y,,,,~ <br />l.. rCr°_3g°_ JI 3:_'eeted l3ads <br />( Ota- i1:r73Ce acreage [~ Se <br />(;~'P~ ; ~ ~ ;c /i r. <br />_C. .;p?iicstan -__ (See_?p!icabla i <br />_-. tr' e2.^_L _ '^ L•5? (:. 2 . , ate`:- ( 4 C/ F ~ ~' L'! L-J ~_.! f ~ _ <br />_~. ~rC905 eC =.:___ _.:aC '132 - .. _ <br /> <br />~:':?') <br />