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.1 ; ..,4 .~ __ _ <br />•~ • III IIIIIIIII IIII III • <br />999 <br />LIMITED FACT AND SPECIAL (TEN-DAY) <br />PEP.PQT APPLIG4iID2I..~ORM-• a°°~ <br />STATE OF COLORADO `,.,a. ~ ~ ~ ~ ~ - - <br />Application for ;11ain3 <br />;<Iiaed Land Rsclasation 3oard and Reclamation Perait, <br />Denartx2nt of Natural Resources i..1r= i`v )`~13 Pursuant to C.R.S. 1973, <br />1313 Sherman Street, Room 723 34-32-101, et seq. <br />Denver Colorado 80203 rr i_ ~,~~;p R.GCL!?.+dl":T~Ot~I <br />LIMITED I;`3ACT OPERATIONS must disturb LESS TITAN ten acres (including all <br />roads, stockpile areas and nay other surface facilities) over the life of <br />the mine, and must extract LESS THAN 70,000 tons of mineral, overburden <br />or combination thereof par 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 />1A the narratives or elsewhere. <br />SPECIAL (T~F-DAY PROC°,SSLYG) operations must disturb LESS T'~iAN ten <br />acres (including all roads, stockpile areas and nay other surface <br />facilities), east' can Oi~I.Y be obtained where a federal, state, county, <br />city, town, or sgecial district caatract calls for wozk to be <br />commenced within a SPECIe`ICALLY SHORT TI~YE. <br />TYPE OR PP.I:T* CLE.~IRLY 1,1 IQ I V o - ~ I~ li- ~ ~rrl <br />1. Noma of operations L~t• y ~P. ~/i I~fi r , ~ _ <br /> (tit, mine, or site aar..P..) <br />2. Name of applicant/operator l ~tt wy~ ,~~ ~.y` ~~, ,_,~. w-~j y <br /> (name to be used as persi.t) I <br /> <br />3. <br />Address and phone number of ~ /~ /' <br />(S' //~~ { f1 , u (r ~cc.-,.d c {~1.% //-ti( astir r~n~~ <br /> local offices <br />4. Address sad phony number ;~, y„ ,_~" ci ~_ r-c~o U ~- <br /> of general offices <br />5. Nana and phone number o? person ( ~ v," n ~ ~b~ ~ti o d <br /> staff memb.r9 should contact I l' ~y ~ . ri C, ~ ~ <br />6. Cvner{s) of record of affected ~ <br /> Land (surfac= area) ict / 7- <br />ai 4" "~ n'tR ~Y C!~! _ <br /> (L` more than 2, list below) <br />7. 0•arter(s} o: substance to ba ai^ed I ~c.~~~ ~ /~t.m.a.-G'~c.i_ <br /> (If aura than 2, list belox) L <br />8. Source of legal right to enter J 1~0 <br /> (Indicate what type of proof is <br />included in Exhibit G -lease, deed, <br /> notazizad letter, etc.} <br /> <br />9. <br />Type of mine iY substance to be mined /J <br />~ n e ~, .l" ~ t <br /> (Specify v.der3rouad, strip, open pit, Y~n ~~ (~! /~ ~ ~~ <br /> etc. sad substance(s) to be aiaed) <br /> <br />.0. <br />General location 5 elevation ('.1:139 a /J / /` <br />~i /"~~ ~,~" -~'-~~c~ll ~°L~~/ ~~ ~'/~~•~l. <br /> 6 direction from nearest tocm b <br />) <br />l <br />i - i ~ , <br />Of~T~u.ti;Gc_ -T li<~./f~i.~/j. _ <br /> evat <br />aanroximate site e <br />on /' _ ~{ <br />i. county <br />.2. Acreage of affected lands <br />(T <br />t <br />b <br />f <br />l ,/ <br />~ h`C•" ~E~" j <br /> o <br />a <br />sur <br />ace acreage to <br />e <br />included in pe~i.t) <br />~ <br />3: ,,~~__gg-- ~~qq <br />Application fee (Sae app ~aBli~>iuYe~ ~~,GD /G~,00 '~, ryc ~ ~ 1(: UD <br /> to determine mount) <br />/iiJ ~; w U <br />1979 <br />~ G/r'Qa /ACC. <br />,,..__ <br />f,uratu ui,~~ RC~Ui.~iri~iUi~l <br />Colo. Dept. ofiVatural Resources <br />