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J <br />04 . COO <br />~~r ~9 <br />Fes': ~ <br />N " <br />* ~~~ # <br /># - <br />r876 <br />Richard D. Lamm <br />Governor <br /> <br />DEPARTMENT OF NATURAL RESOURCES <br />David H. Getchea, Executive Director <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. 3HELT0 N, Director <br />P{Qry? rY~' . r -... <br />J UIV 0 2 iggs LIMITED IMPACT (110) AND <br />SPECIAL TEN-DAY (111) PERMIT <br />Pir~is`a?,a;.d ~e::, APPLICATION FORt1 <br />L;nirs tli,r„ s+~ ~?~r,:,..1 , <br />Application for Mi'ning~ and ~~l~ain3fion Permit, pursuant to C.R <br />et a as amended <br />,.: <br />S. 1973, 34-32-101, <br />?~> <br />/h-Flo-O-7~1 C'K,~gai~ ~ 7,;tU.a?r~ <br />The following explanations cover Limited Impact applications (110'5) and Special <br />(Ten-Day Processing - 111'5) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application you are applying <br />for. 111 permits may be issued only under special circumstances. Be sure you are <br />eligible. <br />I XI LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of the <br />mine, and must extract LESS THAN 70,000 tons of mineral, overburden or <br />combination thereof per calendar year. If the affected area is some fraction <br />greater than nine acres, be sure NOT to round this figure up to ten acres in <br />the narratives or elsewhere. <br />I _I SPECIAL (ten-day processin o erations are an sand <br />g) p y gravel, or quarry <br />aggregates operations which are to be operated for the sole purpose of <br />obtaining materials for highway, road, utility, or similar-type construction <br />under a Federal, State, county, city, town, or special district contract where <br />the contract calls for work to be commenced within a specifically short time <br />and which will affect ten acres or less (including all roads, stockpile areas, <br />and any other surface facilities). <br />INSTRUCTION: This application and all accompanying materials as outlined below must be <br />submitted in duplicate. For further guidance, and information for Limited <br />Impact Operations, see Rule 3 and for Special Permits, see Rule 4. <br />(Type or Print Clearly) <br />1. Name of operation DDllerschell Pic <br />(Pit, mine or site name) <br />2. Name of Applicant/Operator <br />(Name to be used on permit) Don Kehn Const. Inc. <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />III III'll lll'111111 <br />999 <br />