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~ LED IMPACT AND SPECIAL (TEiI-~) III'll'll'II"II'll <br />PERMIT APPRLICATIO"I FORM sss <br />STATE OF COLORADO ' `~CEIVEI~ Application far Pitning <br />Fiined Land Reclamation Board and Reclamation Permit, <br />Department of Natural Resources JAN 1 1 1980 Pursuant to C.R.S. 1973, <br />1313 Sherman Street, Room 723 34-32-101, et seq. <br />Deaver, Colorado 80203 MIND LAND RECLAMATION <br />L~TMITED L`IPACT OPERATIONS triY',~LDP$fs~'u'~3s~$95~HA01; ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of <br />the mine, and must extract LESS TAA:7 70,000 tons of mineral, overburden <br />or combination thereof per calendar year. If the affected area is some <br />fraction greater than nine acres, be sure NOT to round it up to ten acres <br />in the narratives or elsewhere. <br />SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THA.*1 ten <br />acres (including all roads, stockpile areas and any other surface <br />facilities), oar' can ONLY be obtained where a federal, state, county, <br />city, town, or special district contract calls for work to be <br />commenced within a SPECIFICALLY SHORT TIPSE. <br />TYPE OR PRINT CLEARLY <br /> <br /> <br />1. <br />Name of operat$,gns /~ Q i <br />~~j~j C~u~,~ry/ /i7' /, <br /> (Pit, mine, ar site name) <br />Z. Name of applicant/operator ~j'~!/~(~ oclfirs~' o.~.e u g,~/,~~~ <br /> (Name to be used on permit) <br />3. Address and phone number of I ~~ - A t7 D ~ <br /> local offices <br />4. Address and phone number C,y. h,~ . <br /> of general offices <br />5. Name and phone number of person ~ E ~' G- <br /> staff members should contact I ~?~ _ ~ ~ 7~ <br />6. Owner(s) of record of affected i /~ C ~O~ST ~~.pl//~~ <br /> Land (surface area) <br /> (If more than 2, list below) <br />7. Owner(s) of substance to be mined SY~-/~7~ <br /> (If more than 2, list below) ~ <br />8. Source of legal right to enter L E/¢s ~ <br /> (Indicate what type of proof is <br />included is Exhibit G - lease, deed, <br /> notarized letter, etc.) <br />9 e of mine S substance to be mined <br />T ~/?~ y~k - ~ti~ ~ / ' <br />. yp <br />(Specify underground, strip, open pit, <br /> etc. and substance(s) to be mined) <br /> <br />0 <br />General location ~ elevation (*Siles '.I <br />/yE ~~ Ste' R - / / .~ 'P7S/~fJ <br />. <br />. ~ direction from nearest town S ~~~ <br />~T <br /> approximate site elevation) <br />.1. County <br />.2. Acreage of affected lands ~~ ~C~~ <br /> (Total surface acreage to be <br />included is permit) - <br />I <br />3. Application fee (See applicable Rule <br />. to determine amount) <br />