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1 - - <br />i ~ / J II I III III III IIII III <br />- L1111TE0 I.sPACT (110) anJ 999 ~~ doZS/4 <br />SPECIAL YEN-UAY (lil) PER;11T ~,~ <br />APPLICATIG;I F0.',M <br />State of Colorado -- - ~-•- - -- Applicaticn for tSining and <br />Dap.er[rs nt of Natural Resources P,eelamation Fermit, p!irsuant <br />htltlED L~':t:0 P.ECLA~'.;7fIOPl BOAP•D _ ,, ,J;,IJ73 to CRS 1973, 3f+-32-IO1, et seq <br />1313 Sh_man Strut, Roorn %23 ~ - <br />D~nvcr, CO 80203 (303) 839-35G7 <br />c..-. .__...~ <br />Tl:o following explanations covar ~L`imiteJ Impact applications {IIOs) and Special (Ten- <br />r~ Gay Processing)(l lls) applir_ati ens. In the interests of efficient processing, please <br />check the approprir.te box to indicate which type of application you are applying for here. <br />__ LIMITED Ih1PACT OPERA-iICNS must disturb LESS T;!AN ten acres (including <br />all roads, stcckpile areas and any other surface facilities) ovar the <br />life of the mine, and Host extract LESS THAN %0,000 tons of mineral, <br />o•rerburden or combination thereof per calendar year. If the affected <br />area is some fraction greater than nin=_ acres, be sure NG'f to round this <br />figure out to ten acres .in the narratives or elsm.rhere. <br />'• X~ SPECIAL (7 Eh!-DAY PF;OCESSING) operations must disturb LESS THAN ten acres <br />- (incluJing all roads, stockpile areas and any other surface facilities), <br />grid can OP~LY be obtained o-:here a feJeral, state, county, city, too-m or <br />special district contract calls for r.ork to be coi:~~r,~nced trithin a <br />SPECIFICALLY SF;ORT TI;iE. <br />(Type or Print Clearly) <br />I <br />L <br /> <br />1. Name of operation McVe <br /> <br />i <br />i y <br /> (Pit, m <br />ne or s <br />te name) -- <br />2. hia~ e o` applicant/operator A <br /> Colorado Division of Hiehways _ _ <br /> (liame to he used on permit) <br />- - <br />!. Address and phone number of p, 0. Box 536, Pueblo, Colorado 81002 <br />- <br /> local offices -_ <br /> _ 543-7186 _ <br />__ <br />4. A~'dress and phone numher of <br />ffi <br />l __ <br />4201 E`Arkansas Ave. Denver, <br />- ~ <br />- Colorado 80222 <br />-' <br /> ces <br />genera <br />o - <br /> _ _' 757-9224 <br />~----- <br />_ <br />5. ` ~:ams and phone number of person - <br />b - ---------- <br />Kenneth M. Geisert ---- <br /> staff mem <br />ers should contact _ <br /> 757-9224 <br />_ <br />6. _ _ <br />C:mer(s) of record of affected _ <br /> land (surface arc a) (If n;ore N le W. and Fern McVey <br /> than 2, 1 ist beloi•r) <br />- <br />7. C:me.r(s) of substance to be mined <br /> 2 <br />h <br />li Nvle W. and Fern McVey <br /> , <br />(If more t <br />an <br />st belo.r) _ <br />8. Source of legal right to enter `_ <br /> (Indicate orhat type of prooF is 0 lion to-Buy Material <br /> included in EXHIBIT G - lease, <br /> notarized letter, etc.) <br />deed <br /> , <br />9. Type of mine E suhstance to he <br /> mined (Specify underground, strip, 0 en pit - sand _ <br /> open pit, etc. & substance(s) to <br />~ h•. mined) <br />__ <br />10. _ <br />G~n~ral location E elevation <br /> (Hiles & direction from naarest A roximately 6 miles north of S_H. 160_ _ <br /> tom L approximate site eleva-~ <br /> lion) and 11 miles West of Pritchett; 4800: <br />- <br />11. County - <br /> __ Baca <br />__ <br />12, _ <br />Acreaga of affected lands __ <br /> (Total surface acrea;-~ to be <br /> _i nc l udeJ i n ~c• nn i tl - 8.57 _ <br />___ ____ <br />13. _ <br />A?plication fe,: (See applicahle ___ _____ <br /> RULE to c'cterminc ar~ounL) <br /> N/A <br />(over) <br />