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~ ~T! _ _ <br />-_~ <br />~ECL4L _ -~DAYT(111))PERMIT ~ IIIIIIIIIIIIIIIIIII <br />~p <br />State of ~ , Application f.,.;.;`` .. . ; ~ ; ..-• <br />DOpartment of `Nat Ramses Reclamation Permit; pursuant <br />HINED LAND RECLAMA ,Jw N 1 1 1980 to CRS 1973, 34-32-101, et seq <br />1313 Sherman Street, Room 3 <br />Denver, CO 80203 (303) 839-3547 ~ ~ q!~I~ RECL NATION ~ O~ <br />Colo. Dept, m natura Resources <br />The following explanations cover L' ited Impact applications (i10's) and Special (Ten- <br />Day Processing)(111's) applications In the interests of efficient processing, please <br />ckeck the agprogriate box to imlica a which type of application you are applying for <br />here. 111 permits may be issued on y under special circumstances. Be sure you are <br />eligi e. <br />LIMITED IMPACT OPERATIONS must disturb LESS THAN ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of <br />the mine, and must extract LES THAN 70,000 tons of mineral, overburden or <br />combination thereof per calend r year. If the affected area is some fraction <br />greater than nine acres, be su a NOT to round this figure out to ten acres in <br />the narratives or elsewhere. <br />SPECIAL (TEN-DAY PROCESSING) o erations must disturb LESS THAN ten acres <br />(including all roads, stockpil areas and any other surface facilities), <br />and can ONLY be obtained where a federal, state, county, city, town or <br />special district contract call for work to be commenced within a SPECIFICALLY <br />SHORT TIRE. <br />(Type ~r Print Clearly) <br />1. Name of operation ( I ~~ J~~ ~i~ Jul ~~ <br />(Pit, mine or site name) <br />2. Name of applicant/operator <br />(Name to be used on permit) <br />3. Address and phone number of <br />local offices <br />4. Address and phone number of <br />general offices <br />5. Name and phone number of person I .fSoB f-,¢~%Ti¢!r. - C~oO.e.diA/A~TIJQ, <br />staff members should contact ~ ~i ,,.i ~/ w. <br />6, Owner (s) of record of affected ]and ~ ~ <br />(surface ar~)11fmoie than2,list below) <br />7. Owner(s) of substance to be mined <br />(If more than 2, list below) <br />8. Source of legal right to enter A <br />(Indicate what t•,~pe of proof is ,U <br />included in EXHIBIT G -lease, <br />deed, notarized letter, etc.) <br />9. Type of mine & substance to be <br />rained (Specify underground, strip, <br />open pit, etc. ~ substance(s) to <br />be mined) <br />10. General location & elevation <br />(Miles & direction from nearest <br />I town & approximate site elevation) <br />r <br />I. <br />11. Coanty <br />12. Acreage of affected lands <br />(Total surface acreage to be <br />included in permit) <br />- D <br />i~ <br />S~9 <br /> <br />13. Application fee {See applicable <br />RULE to determine amount) <br />14. Present land use (i.e., agri- <br />cuZtural, industrial, etc.) ~- <br />35. Proposed future lan<{ ~ <br />~~ (Goal of reC$a~aCiai <br />., . < a,ra. - -- <br />