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7/78 <br /> SITED IMPACT (110) and <br /> SPECIAL TEN-DAY (111 ) PERMIT <br /> APPLICATION FORM <br /> State of Colorado FF L fa}_ 'N f_D Application for Mining and <br /> Department of Natural Resources k \L_.�-+i —( :� ' — Reclamation Permit, pursuant <br /> MINED LAND RECLAMATION BOARD to CRS 1973, 34-32-101 , et seq <br /> 1313 Sherman Street, Room 723 D E C 2 1 1978 <br /> Denver, CO 80203 (303) 839-3567 'FD <br /> f�EG6J1MA71nry �Fc:TIwwON <br /> The following explanations cove r�Q�646tdofl N��acl Rappllcations (IIOs) and Special (Ten- <br /> Day Processing) (llls) applications. In the interests of efficient processing, please <br /> check the appropriate box to indicate which type of application you are applying for here. <br /> LIMITED IMPACT OPERATIONS must disturb LESS THAN 'ten acres (including <br /> all roads, stockpile areas and any other surface facilities) over the <br /> life of the mine, and must extract LESS THAN 70,000 tons of mineral , <br /> overburden or combination thereof per calendar year. If the affected <br /> area is some fraction greater than nine acres , be sure NOT to round this <br /> figure out to ten acres in the narratives or elsewhere. <br /> SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten acres <br /> (including all roads, stockpile areas and any other surface facilities) , <br /> and can ONLY be obtained where a federal , state, county, city, town or <br /> special district contract calls for work to be commenced within a <br /> SPECIFICALLY SHORT TIME. <br /> (Type or Print Clearly) <br /> 1 . Name of operation RaN,9LD D Z_A <br /> (Pit, mine or site name) <br /> /7DUT �14 / <br /> 2. Name of applicant/operator n / /T <br /> (Name to be used on permit) <br /> 3. Address and phone number of <br /> local offices <br /> 4. Address and phone number of c �117 F. I R 4 O C `)O/O. ( ZO <br /> general offices <br /> 5• Name and phone number of person . )( Z , Pn <br /> staff members should contact <br /> 4 21 - .'27174 <br /> 6. Owner(s) of record of affected <br /> land (surface area) (if more Q4 ,f / %/— <br /> than 2, list below) <br /> 7. Owner(s) of substance to be mined f57F,c-- L/ /T_ <br /> ( If more than 2, list below) <br /> 8. Source of legal right to enter <br /> (Indicate what type of proof is <br /> included in EXHIBIT G - lease, <br /> deed, notarized letter, etc.) <br /> 9. Type of mine b substance to be , <br /> mined (Specify underground, strip , p F/1/ . P/7— / / % R_ <br /> open pit, etc. 6 substance(s) to <br /> be mined) - - <br /> 10. General location s elevation <br /> (Miles & direction from nearest <br /> town b approximate site 'eleva- //p]�, TN/ <br /> eleva- <br /> tion) — -- l /U�/ WwP <br /> 11 . County <br /> - L-_ �AS'O --- - - - - - - __ _ <br /> 12. Acreage of affected lands pi/OULD -DEPEND D/V AG�7S <br /> (Total surface acreage to be <br /> Included inpermit) (J F <br /> 13• Application fee (See applicable-_JUNk�Nlvml <br /> _ <br /> ,fc_?S_. pO <br /> RULE to determine amount) n <br /> (over) <br />