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<br /> <br />Plcn~ra D. Lemm <br />GwernOr <br />. DEPARTMENT OF NATUF y99 <br />'•Oav10 H. Ootenee, Eaeeutlve Dlrector <br />MINED LAND RECLAMA~I~~~ <br />DAVID C. SHELTON, Dlrector <br />• iii iiiiiiiiuiii iii . <br />JUN 23 1988 <br />RECLAMAT-ON DION <br />LIMITED Ih1PACT (110) AND <br />SPECIAL TEN-DAY (lll) PERh1IT <br />APPLICATION FORM <br />Application for Mining and Reclamation Permit, pursuant to C.R.S. 1973, 34-32-101, <br />et seg, as amended. <br />m - ~~ ~c~3 <br />The following t~xplanations cover Limited Impact applications (110's) and Special <br />(Ten-Day Processing - ill'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. 111 permits may be issued only under special circumstances. Be sure you are <br />eligible. <br />I~ LIMITED IMPACT OPERATIONS must disturb less <br />roads, stockpile areas and any other surface <br />mine, and must extract LESS THAN 10,000 tons <br />combination thereof per calendar year. If t <br />greater than nine acres, be sure NOT to roun <br />the narratives or elsewhere. <br />than ten acres (including all <br />facilities) over the life of the <br />of mineral, overburden or <br />he affected area is some fraction <br />d this figure up to ten acres in <br />I_I SPECIAL (ten-day processing) operations are any sand, 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: Trlis 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 <br />(Pit, mine or site name) <br />2. Name of Applicant/Operator <br />(Name to be used on permit) •'~ 11 /~ //~~ <br />hr C/lt.ftt l .Otr4. <br />