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'' I~[TED I2fPACT AND SPECIAL (T~I~) <br />PEB?tIT APPLICATION FORK T <br />STATE OF COLORADO App tion for Mining <br />Hiasd Laced Raelamaeion Board and itaelamation larmit, <br />Dapartsaat of Natural Resources Pursuant to C.R.S. 1973, <br />1313 Sheraaa Stzat, Room 723 34-32-101, at seq. <br />• Daavar, Colorado 80203 <br />LB3ITED L`~ACT OPERATIONS must disturb LESS:TRAN ten acres (including all <br />roads, stockpile arms and any other surface facilities) over the life of <br />the mina, and must extract LESS TARN 70,000 tons of mineral, ovarburdan <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 tea acres <br />in the narratives or elsewhere. <br />SPECIAL. (TEN-DAY PROCESSING) operations must disturb LESS TARN tea <br />acres (including all roads, stockpile areas sad any other surface <br />facilities), aa~' can O.LLY be obtained where a federal, state, county, <br />city, tow, or special district contract calls for work to be <br />commenced within a SPECIFICALLY SHORT TIME. / /~ /~ <br />r- /r <br />TYPE OR PRINT CLEARLY ~ " c '~ <br />1. Name of operat~gns ~A5.~E// FdstT <br />(Pit, mine, or site name) <br />2. Name of applicaatloperator fly.,Q,~ ~p , ,~,~ ,q~ ,[~~d ~ ~ <br />I <br />(Name to be used on permit) <br />3. Address sad phone number of I rG, /SAY /5~7- ~I~iQOh~~. ~~e,o. ~OSCS~C• <br />local offices 3 ~ _ <br />4. Addrnsa and phone number ~~~~ <br />of general offices <br />5. Name sad phone number of person ~ t~ie!_; /-o,~,l~oc-, -~o~QAiti.47oR_ <br />staff members should contact <br /> <br /> <br /> <br />~- <br />,. <br />~~; <br />~~% <br />p-. <br />~r <br />o. l/waer laJ ar reCOra OL aii eCLea / y¢'_~ COr/,VrY <br /> I <br />land (surface area) <br /> (If more than 2, list belaW) <br /> <br />7. <br />Oc+ner(s) of substance to be mined n //~~ <br />P~¢,Qx_ `'O4.ur~• <br /> '(If more than 2, lint below) <br />8. Source of legal right to enter ,~~. L.-,d <br /> (Indicate what type of proof is <br />included is Exhibit G -lease, deed, <br /> notarized letter, etc.) <br />9 Type of mine S substance to be mined ~ ~ - '- <br />. (Specify underground, strip, open pit, <br /> etc. sad substance(s) to be mixed) <br />.0. General location A elevation ('files <br />S direction from nearest town b ~~!CllL!/~.~ . ~ A ~~' <br /> <br />: <br />~~~C' ! ~' <br /> approximate site elevation) - <br />- <br />.1• County <br />.Z. Acres • of affected leads <br />(Total surface acreage to be <br />Secluded is permit) r~ <br />~ / ~4~~~ <br />~ <br />.3. Applieatina fee (See applicable Rule <br />. to dntarmiaa amount) <br />.a.. <br />:.. <br />