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. ~ L~ITED IMPACT AND SPECIAL (TEN~Y) III IIIIII I IIIIII III <br />PERMIT APPLICATIOti FORM sss <br />--~---- - <br />STATE OF COLORADO ~~<~~^ r _-f ~~ ~ ~ Application for Paining <br />I•fined Land Reclamation Board and Reclamation Permit, <br />Department of Natural Resources Pursuant to C.R,S. 1973, <br />1313 Sherman Street, Room 723 ~~'~~•4 `- 19f8 34-32-101, et seq. <br />Denver, Colorado 80203 _ ' <br />f.4i?acDLr~ _ ..'vL/~,i::N~i0i,1 <br />LIl•fITED L`iPACT OPERAT~IOtPSOfaidsd~'•tli'§i`~rD'i:•~SS~ T1LSN ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of <br />the mine, and must extract LESS THAN 70,000 tons of mineral, overburden <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 ten acres <br />in the narratives or elsewhere. <br />SPECIAL (TEN-DAY PROCESSING) operations mdst disturb LESS THAN ten <br />acres (including all roads, stockpile areas and anp other surface <br />facilities), and can ONLY be obtained where a federal, state, county, <br />city, town, or special district contract calls for work to be <br />commenced viihin a SPECIFICALLY SHORT TL`fE. <br />TYPE OR PRINT CLEARLY 'f'~' + b ' B <br />I. Name of operations SMITH PIT # 20 <br /> (Pit, mine, or site name) <br />2. Name of applicant/operator MOFFAT COUNTY ROAD DEPARTMENT <br /> (Name to be used on permit) ~ <br /> <br />3. •~ <br />Address and phone number of I P.O. BOX 66~ CRAIG COLO. B1625 <br /> local offices 30j-8211--3211 <br />4. Address and phone number MOFFAT COUNTY COMMISSIONERS <br />>• nFr'eT rQL~TY CQURTFOLTSE <br /> of general offices CRAIG, COLO. 81625 303-82'+-5517 <br />5. Name and phone number of person :I.:H<= 57EBER P.O. BoX 66 <br /> staff members should contact CFtAI~ S 2 303- 2 -3211 <br />6. Owner(s) of record of affected <br /> land (surface area) BUREAU OF LAND MANAGEMENT <br /> (If more than 2, list below) <br />7. Owner(s) of substance to be mined <br /> (If more than 2, list below) BUREp.U OF LAN'.? M N GE ~ ~ <br />8. Source of legal right to enter <br /> (Indicate what type of proof is <br />included in Exhibit G - lease,•deed, <br />LEASE <br /> notarized letter, etc.) <br />9. Type of mine S substance to be mined OPEN PIT - CRUSHED GRAVEL <br /> (Specify wder3round, strip, open pit, <br /> etc. and substance(s) to be wined) <br /> <br />0 <br />General location ~ elevation {*?iles THIS PIT IS APPROy.IMATELY 49 MILES <br />. b direction from neatest town 6 P?ORT~ OF CRAIG, COLO. OT: MOCO RD ~` 4 <br /> approximate site elevation) ELEV. 62 0 <br />1. County ' Y.OFFAT COUNTY <br />2. Acreage of affected lands <br />b R acres more or Iess <br /> (Total surface acreage to <br />e <br />included is permit) ~ <br />3. Application fee {See applicable Rule Q 11n'n0 • <br /> to determine amount) <br /> <br /> <br /> <br />