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III IIIIII II II II I <br /> LIMITED IMPACT (110) and ggg <br /> ' SPECIAL TEN-DAY (111) PERMIT <br /> APPLICATION FORM <br /> State of Colorado Application for Mining and <br /> Department of Natural Resources Reclamation Permit, pursuant <br /> MINED LAND RECLAMATION BOARD AND DIVISION to 34-32-101, CRS 1973, <br /> ' 1313 Sherman Street, Room 423 as amended <br /> Denver, CO 80203 (303) 866-3567 <br /> zoo CK <br /> ' The following explanations cover Limited Impact applications (110's) and Special (Ten- <br /> 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 here. 111 permits may be issued only under special circumstances. Be sure you <br /> are eligible. <br /> ® LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all roads, <br /> ' stockpile areas and any other surface facilities) over the life of the mine, and <br /> must extract LESS THAN 70,000 tons of mineral , overburden or combination thereof <br /> per calendar year. If the affected area is some fraction greater than nine acres, <br /> be sure NOT to round this figure up to ten acres in the narratives or elsewhere. <br /> SPECIAL (ter.-day processing) operations are any sand, gravel, or quarry aggregates <br /> operations which are to be operated for the sole purpose of obtaining materials <br /> J for highway, road, utility, or similar-type construction under a Federal, State, <br /> county, city, town, or special district contract where the contract calls for work <br /> to be cormrerced within a srecifically short rime and which will affect ten acres <br /> or less (including all roads, stockpile areas, and any other surface facilities! . <br /> JINSTRUCTION: This application and all accompanying materials as outlined below must <br /> be submitted in duplicate. For further guidance and information for <br /> Limited Impact Operations, see RULE 3 and for Special Permits, see PULE 4. <br /> J (Type or Print Clearly) <br /> 1. Name of operation <br /> (Pit, mine or site name) Red Jasper Granite Quarry <br /> i <br /> 2. Name of applicant/operator Marvin E. Brown, Applicant <br /> (Name to be used on permit) William Alan Tezak, Operator <br /> 3, address and phone number of Brown: Ph . 687-9008 Tezak: Ph. 274 -6894 <br /> local offices Red Jasper Granite Co . Colo. Quarries Inc. <br /> Sta Rt 2 , , R l2 <br /> + �Yoo�land 46 rl ,J R0863 C PanOoesB iX x�z ll-� 51217 <br /> I, 4. Address and phone number of <br /> general offices Same as above . <br /> 5. Name and phone number of person Marvin E. Brown , Ph . 687 -9008 <br /> staff members should contact <br /> 1 <br />