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• LIMITED RIM~PACT AAtb SPECIAL (TEN-DAY <br />_ P-~ Y.13Cr~'~LOt7 F RM <br />STATE OF COLORADO Application for Alining <br />Mined Land Reclamation Board and Reclamation Permit, <br />Department of Natural Resources ~%~! u 3 1981 Pursuant to C.R.S. 1973, <br />1313 Sherman Street, Room 723 34-32-101, et seq. <br />Denver, Colorado 80203 MINED LAPID RECLAMATION <br />Colo. Dep!, of Na?ural Resource, <br />LIMITED L`~ACT OPERATIONS must disturb LESS TITAN ten acres (including all <br />roads, stockpile arias 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 />SPECIAI. (TEN-DAY PROS;ESSING) operations must disturb LESS THA.9 ten <br />acres (including all roads, stockplle 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 far work to be <br />commenced within a SP]"sCIFICALLY SHORT TIME. <br /> TYPE OR PRINT CLEARLY Y ' ` ~ 0 ~ - <br />1. Name of operations Se6 Alt~¢hed Sfieet <br /> (Pit, mine, or site name) <br />2. Name of applicant/operator 8pw Rigrel Ceent~ <br /> (Name to be used on permit) <br />3. Address and phone number of w_n_ sue,. 4!L <br /> local offices <br />4. Address and phone number p_p_ !ex 84! <br /> of geaeral offices <br />Tslirrire Co. a14 -~ <br />5. Name and phone number of person Pwrl isle 3O3~3P~~4A35 <br /> ~ <br />staff members should contact Road S Bridge Dept. Supervisor <br />6. Owner(s) of record of affected ~ - See Attached Sheet <br /> land (surface area) <br /> (If more than 2, list below) <br />7. Owner(s) of substance to be mined Gat ~+~„ha~ S~p* <br /> (If more than 2, list below) <br />S. Source of legal rlght to enter ~~ <br /> (Indicate what type of proof is <br />included in Exhibit G - lease, deed., <br /> notarized letter, etc.) <br />9. Type of mice 6 substance to be mined Gravel Snj,t_run endSr ~QhPd) <br /> (Specify underground, strip, open pit, ~ ~ ~ pi={-S <br /> etc. and substance(s) to be mined) <br />0 General location 6 elevation (Miles <br />See Attached Sheet <br />. S direction from nearest town b <br /> approximate site elevation) <br />.i. County ~ iwn Nigq®1 Cornt <br />2. Acreage of affected lands See Attached Sheet <br /> (Total surface acreage to be <br />included in permit) ~ <br /> <br />13. Application fee (See applicable Rule N/A <br />to determine amount) <br /> <br />