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~ III IIIIilllllllllll ~~~~~~~~~~~ <br />~'` LIXITED INPACT (SIO) and n lOi~ <br />SPECIAL TEN-DAY (111) PERMIT O L'T U 198 <br />AFPLI CATION FORw <br />i~!h'eD LAtJJ <br />State of Colorado 7~mRr~2c~Ltibn14`.dtCD'..tlii}t~!tind <br />Department of Natural Resources Reclamation Permit, pursuant <br />MINED LAND RECLAMATION BOARD AND DIVISION to 39-32-101, CRS 1973, <br />I3I3 Sherran Street, Room 423 as amended <br />Denver, CO 80203 (303) 866-3567 <br />m-~~- i~l <br />The following explanations Grover Linited Impact applications (lI0's) and Special (Ten- <br />Day Processing - II1's) applications. In the interest of efficient processing, <br />please cheat the appropriate box to indicate which tupe of application you are applying <br />for here. I11 permits may be issued only under special circumstances. Be sure yov <br />are eligible. <br />~MITED IMPACT OPERATIONS must disturb Less than ten acres (including all roads, <br />stockpile areas and any other surface facilities) over the life of the nine, and <br />must extract LESS TNAt1 70,000 tons of mineral, overburden or combination thereof <br />per calendar year. If the affected area is sore fraction greater than nine acres, <br />be sure NOS to round this figure up to ten acres in the narratives or elsewhere. <br />[] sPECIRL (ten-dau processing) cxrations are any sand, gravel, or quarry agcrecates <br />operations which are to be operated for the sole purpose of cbtairing rate-ial.s <br />for h_'ghway, road, utilitu, or similar-toe construction under a Federal, State, <br />county, city, town, or special district^ontract where the cen~ract cans for c.•nrk <br />to be corr~nced within a specifically short time and which will affect ten acres <br />or less (includino all roads, stockpile areas, and any ot'~er surface facilit=es). <br />INSTRUCTION: This application and all accompanying raterials as outlined below must <br />be s;ibrdtted ir. duplicate. For further ouidance and irfcrmati.en for <br />Limited In._cact Cperaticns, see RUL-; 3 and far Special Perruts, see RJLc 4. <br />(Tupe or Print Clearly) <br />1. Na:re of operation <br />(Pit, one or site nary) Fondis Pit <br />2. Name of applicant/operator <br />(Name to be used on permit) Elbert County <br />3. Address and ahone nc.:rber of p.0. Box 597 <br />iCCa1 offices Kiowa, CO 80117 621-2348 <br />4. Address and phone nurber of <br />oeneral offices Same as above <br />5. Name and phone nc.-ber e_° person. Rick U11om, Quality Control Manager <br />staff .-e.:be-s shoed contact Road and Bridge Department 621-2348 <br />