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7/78 III IIIIIIIIIIIIIIII <br />~MITEO IMPACT (110) and • <br />SPECIAL TEN-OAY (111) PERMIT <br />APPLICATION FORK <br />State of Colorado <br />Department of Natural.Resources <br />MINED LANG RECLAMATION 80AR0 <br />1313 Sherman Street, Room 723 <br />Denver, CO 8020; (303) 839-3567 <br />P.('R 24 19$1 . <br />M!^!F~ !_P!~!D RGCLAPAP.~IOfJ <br />Application for Mining and <br />Reclamation Permit. pursuant <br />to CRS 1973, 34-32-101, ec seq <br />r l I e ~o. $I - g~ <br />• ' The following explanations cover Limited Impact applications (110s) and Special (Ten- <br />Day Processing)(Ills) 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 LE55 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 withi++ a <br />SPECIFICALLY SHORT TIME. ' <br />(Type or Print Clearly) <br /> <br /> <br />1. Name of operation Tezak Pit <br /> (Pit, mine or site name) <br />2. Name of applicant/operator Colorado Division of Highways <br />~ (Name to be used on permit) <br />3. Address and phone number of P. 0. Box 536 - Pueblo, CO 81002 ' <br /> local offices ' <br /> 544-6286 <br />4. Address and phone number of 4340 Louisiana - Denver, CO 80222 <br /> general offices <br /> 757-9224 <br />5. Name and phone number of person K. M. Geisert <br /> staff members should contact <br /> 757-9224 <br />6. Owner(s) of record of affected <br /> .land (surface area) (If more _ Edward J. Tezak Jr. - - <br /> than 2, list below) <br /> Beverly Tezak <br />7. Owner(s) of substance to be mined Edward J. Tezak Jr. ' <br /> (If more than Z, list below) <br /> Beverly Tezak <br />8. Source of legal right to enter __ <br /> (Indicate what type of proof is Option to Buy Materials <br /> included in EXHIBIT G - lease, <br /> deed,.notarized letter, etc.) <br />9. Type of mine E substance to be - •~- •-- <br /> mined (Specify underground, strip, Open Pit Gravel <br /> open pit, etc. E substance(s) to _- <br /> be mined) <br />10. General location 6 elevation ' <br /> (Miles E direction from nearest 3 miles west of Texas Creek <br /> town E approximate site eleva- <br /> tion) 6,300 <br />11. County. Fremont <br />12. Acreage of affected lands <br /> (Totai surface acreage to be <br /> included in ermit 7.11 <br />13. Application fee (See applicable , <br /> RULE to determine zmount) $105.00 <br />__ . _ ,. <br />11 -~ ~ ,. _--_ ., _~ <br />(o vc rl <br />