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<br /> <br />~.~^ ' .3 '^'~ <br />,T d <br />IdAY 181987 <br />DEPARTMENT OF NATURAL RESOURCES <br />Davao H. Getches, Executive Director MINED LAND <br />MINED LAND RECLAMATION~~L1otU8T®NDw <br />DAVID C. SHELTON, Director _ <br />Richard D. Lamm <br />Governor <br />LIMITED IMPACT (110) AND <br />SPECIAL TEN-DAY (111) PERMIT <br />APPLICATION FORM <br />Application for Mining and Reclamation Permit, pursuant to C.R.S. 1973, 34-32-101, <br />et s~ce as amended. <br />GVJ- ~7- ~ ~ C~K S3ol t~Q~ <br />The followin~l explanations cover Limited Impact applications (110's) and Special <br />(Ten-Day 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 />for. 111 permits may be issued only under special circumstances. Be sure you are <br />eligible. <br />ro~lds, stockpile areas and any other surface <br />mire, and must extract LESS THAN 70,000 tons <br />combination thereof per calendar year. If t <br />greater than nine acres, be sure NOT to roun <br />they 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 SPE:CIAL (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: This 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) / , t., ~ ~~ ~ /~ / ~ <br />S7 ' <br />:- <br />I_I LIMITED IMPACT OPERATIONS must disturb less <br />2. Name of .Applicant/Operator <br />(Name to be used on permit) ~ ~ <br />423 Centennial Building, 1313 Sherman Street <br />t i, i <br />Denver, Colorado 80203 Tel. (303) 866-3567 <br />