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OF COQ • <br />c~ ~0~90 <br />h o DEPARTMENT OF NATURAL RESOURCES <br />y lT~~ * David H. GelCneS, Executive Director <br />`.,876x" MINED LAND RECLAMATI®N DI\ <br />DAVID C. SH ELTON, Director <br />Ricnara D. Lamm <br />APR 4 1986 LIMITED IMPACT (110) AND <br />SPECIAL TEN-DAY (111) PERMIT <br />nnINEDLAN APPLICATION FORM <br />• <br />v <br />Ap~S~a~~dr~l~r ~(i~~l~~`Rld Reclamation Permit, pursuant to C.R.S. 1973, 34-32-101, <br />et sec, as amended. <br />M-R(~ Oy7 <br />The following 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 />I XI LIMITED IMPACT OPERATIONS must disturb less than ten acres (including all <br />roads, stockpile areas and any other surface facilities) aver the life of the <br />mine, and must extract LESS THAN 70,000 tons of mineral, overburden or <br />combination thereof per calendar year. If the affected area is some fraction <br />greater than nine acres, be sure NOT to round this figure up to ten acres in <br />the narratives or elsewhere. <br />I_I SPECIAL (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) <br />2. Name of Applicant/Operator <br />(Name to be used on permit) <br />Phi11=p~County, Colorado. Gonnt~ Road na~•}mant <br />423 Centennial Building, 7313 Sharman Street Denver, Colorado 80203 Tel. (30:i) 866-3567 <br />