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., <br />Op COO <br />~~ /~ 4 <br />r = iN]V'/4 9Q <br />H ~ O <br />f ".n V ~ t <br />•~~i r <br />'~ X876 r <br />Ric oars ~. Lamm <br />Go~2rnor <br /> <br />DEPARTMENT OF NATURAL RESOURCES <br />David H. Getches, Executive Directs <br />MINED LAND RECLAMATI <br />DAYID C. SHELTON, Director <br />MINED UND r._- ~~r <br />Coto ~ t RECUMAiION ptyt~ <br />P Natural Resources <br />Lii+IITEU It•IPACT (11U) AiJD <br />SPECIAL TEN-UAY (111) PERf4IT <br />APPLICATIUri FORM <br />r,pplication for Plininy and Raclamation.Permit, pursuant to C.R. 197334-32-101, <br />et seg, as amended. M ~~ ~l -~/~ ) <br />Tne following explanations cover Limited Impact applications (11U's) and Special <br />(Ten-Uay 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 />fur. 111 pennits .nay be issued only under special circumstances. Be sure you ar-e <br />eligiole. <br />Lli•tiTEU IMPACT OPERATIONS must disturb lass 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 THAW 70,000 tons of mineral, overourden or <br />comuination thereof per calendar year. If the affected area is some fraction <br />greater than nine acres, oe sure NUT to round this f.iyure up to ten acres in <br />the narratives or elsewhere. <br />SPtCIAL (ten-day processing) operations are any sand, gravel, or quarry <br />agyregates operations which are to be operated fur the sole purpose of <br />ootaininy materials for highway, road, utility, or similar-type coitstructio~t <br />undar a Federal, State, county, city, town, or special district contract where <br />the contract calls for work to oe commenced within a specifically snort time <br />and ~•vhich will affect ten acres or less (including all roads, stockpile areas, <br />and any other surface facilities). <br />L'VSTRUCTION: This application and all accompanyiny materials as outlined below must be <br />submitted in duplicate. For further yuidance, and inforrnation for Limited <br />Impact Operations, see Rule 3 and for Special Pennits, see Rule 4. <br />(Type or Print Clearly) <br />1. .Jame of ooeracion n <br />1Pit, mine ur site nair,e) ~/ ~/'~/•~/°, r/,~ <br />2. ota~ae of App i icantNperator / <br />I~~ac~e to oe ,sad on per.nit) ~ ~y,r, y L,CYlgr~rt°Y <br />a23 Centennial Building, ;3t3 Sherman Street Denver, Colorado 60203 Tel. (303) 866-3567 <br />