. LIMITED IMPACT P.N'J SYF.r1P.., (]L:"~AYj
<br />PERMIT APFLIt;Al i;I't ]ORM
<br />STATE OF COLORADO R E C E l`I E~
<br />Itined Land Reclamation boar'
<br />Department of Natural Resources
<br />1313 Sherman Street. 'oom ?23 OCT 3 1977
<br />Denver, Colorado 30203
<br />~~I III~IIII~IIII ~II
<br />Application for ILining
<br />and Reclamation Permit,
<br />Pursuant to C.2.5. 1913,
<br />;L-32-iJ?, et seq.
<br />LIl4ITED IMPACT OPERAT~~m~sATl sts'hCL,L~ THAtr ton acrea (including all
<br />roads, stockpile area `]~ ~n!~ rb`Y~c~4 ~~~L~e facilities) over the life of
<br />the mine, and must extract LESS TIL4I+ ~C,000 tons of mineral, overburden
<br />or combination thereof per calendar year. IC the atCected area is some
<br />fraction greater than nine acres, he sure NOT to round it up to ten acrea
<br />in the narratives or elsewhere.
<br />u77-Y~
<br />SPECIAL (TEN-DAY PROCESSING) operations must di:;turb I.1:SS THAN ten ~~-
<br />' acres (including all roads, stockpile areas and any other surface
<br />facilities), anr' can OYLY be obtained where a fa~iera], state, county,
<br />city, town, or special district con_ract c:;lls fc~ wor6. to be
<br />commenced within a SPECIFICALLY SHORT TIME.
<br />TYPF OR PRINT ::LPARLY
<br />1. Name of operations ~,,,,„~~~~,r~`7~_
<br />~~~
<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
<br />of general offices
<br />5
<br />
<br />C C,. ,QTY C'J rvl rvlrS :rc rv rill
<br />Name and phone number of person ~ d~ ~s ~ ~ rv C cT+;: ~ ~~ r.~.. rY -~i -.r .. r., rsc •
<br />staff members should contact ~'~•~"`' '~""`~"'~ C',•r~•~Tµ~,."~
<br />.__~ ~h + ~ 1! c.z._/}._QddLhlJ~~.1'c ~.~._-S~ti -L•Z, `-,-L
<br />6. Owner{sl of record of affected ~,~i,t~~~__rJt_y4,0.~_,t
<br />land {surface area)
<br />(If more than 2, list below) -
<br />~7. Owner(s) of substance to be mired---_~ _+ ---__'_-- "---~.___-_--__`
<br />(If mere than list below) ;
<br />8, Source of legal right to enter ~_~!~ r ,7„~ _
<br />(Indicate what type of proof is I
<br />included in Exhibit G -lease, deed, l_ __ _ _____ __ _ _ _ _ _ __
<br />notarized letter, etc.) I
<br />--- -I- - -_----- --- - --------- -
<br />9. Type of mini ~ substance to be mined ~.F~ Ks.nt_~e.L_~~i=--? ~i~r~%2 r2 ~ ~ ~s
<br />(Specify underground, strip, open nii,
<br />etc. and substance(s) to be mined) `" "" -'"" "-"--`-'-'--"-"-
<br />10. General location b eieva:.ion (r]ilsa ~t."[ F J ~' ~ f `~ nA ~crt < +~~t~, r ~"_~ ~T_•w~F~E
<br />6 direction from nearest town h '
<br />approximate site elevation) (lam=`= "-~=-+t-~~-" z-~y'~• "t~'F` ""I~~" '
<br />11 • County
<br />___ Sii;C: T 3:,: ,i 4g' r.L..~L]Lifv.-~ y y4 'i w, ~~,~ iL`"~
<br />~Ipi a~'T. S..^,-2 a: ..~. CF T'n•~-C `= P.M
<br />12. Acreage of affected lands
<br />(Total surface acreaPe to be
<br />included in permit)
<br />~' yc a --------
<br />__LZ.AC+t~S _.___
<br />13. Application fee (See applicable Rule
<br />to determine amount)
<br />
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