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i±-• ~: ~ ~~_ - « III IIIIIIIIIIIII III ~ <br />LIPffTED IHPACT AND SPECIAL (TE.V-DAY) (~ ,.{. p// ~/ <br />PERMIT APPLICATT_DH FORM (,ty,l+ 125~~ <br />STATE OF COLORADO ~ - ~-_' " " - -. Applicat'ibn/for ?'Lining <br />!tined Land Y.eclamacion Board k"a;~.~-~ ~~ c """`~ <br />and Reclamation Pes-ait, <br />Department of Natural Resources Pursuant co C.A.S. 1977, <br />1313 Sherman Street, Room 723 DEC li 1980 84-32-101, ac seq. <br />Deaver, Colorado 80208 <br />LI2•III'ED L`IpACT OPERATf~ONS~~'C~d~~~ ~~ tr~~~55 TII.9N ten acres {including all <br />roads, atoekpil• area+ePlan~'•Fdap 'b~lie~' a~u`Y~~~~ facilities) over thn life of <br />cha mina. and muse extract L'c55 'fFiAN 70,000 tons of mineral. overburden <br />or eombinatioa thnreof per calendar year. I! chn affected area is soma <br />fpaecion greaenr e:san nine Beres, ba sure NOT to round it up co ten acres <br />in the narratives or elsewhere. <br />SPECIAL (YE2i-MY PROCESSING) oparaciona meet disturb LESS I'!!AN tea <br />aczns (including all roads, stockpile areas sad nay other susfaca~ <br />facilities), ant' can ONLY be obtained where a federal, state, county, <br />city, town, or spacial district contract calls for work co b• <br />commenced within a SPECIc'IGV1.Y SHORT TL`lE. <br />?7PE OR PRL~I'f CLEARLY <br />l ~~ -~~D -ate <br />1. HamQ of operations ~ LLETTI PIT <br /> (Pit, mice, or site name) <br />2. Hama of appLicaat/operator PUEBLO PAVING CO. INC. __ <br /> (:lama to ba used on petit) ~ <br />3. ~ Address sad phonn number of i P.O. DRAWER O ~ <br /> <br />laea]. offices - <br />pL1RANG0 CO 81301 259-2622 <br />4. iddrass and phonn number 728 W .9th St. <br /> of general offices <br />BLO CO 542-7222 <br />S. Hama sad phone number of person ~ SCOT7 JOHNSON <br /> seat! memhers should contact ~ SUMMIT ENGINEERING CO. 589-6147 <br />6. Owner(s) of record of affected ~ ANTHONY ZELLITTI <br /> lead (surface area} I 001 County RD, 300 <br /> (If morn than 2, list below) D ra o CO 81301 <br />T. Osrnar(a) of substance eo ba mined ANTHONY ZELLITTI <br /> {I. enose than 2, list below) ~ <br />d. Source of legal right to enter NOTARIZED LETTER <br /> (Indicate what t7ge of proof Ss <br />laeluded in Exhibit G -Lease, deed, , <br />• aatarized letter, etc.) <br />9 o of mine b substance to be mixed <br />T GRAVEL <br />. yp <br />(SpecL`y underground, strip, opett piC, OPEN PIT ~ • <br /> ece. and substance(s) to be mined) <br />0 (wil <br />G <br />6 <br />l l <br />i <br />i <br />l ' MiTes•S.E. OF DURANGO_ <br />. <br />. es <br />enera <br />evat <br />on <br />ocat <br />on <br />e <br />b direction ::om Dearest town b <br />~~nrn ~, seo level <br /> approsamacn site elevation) <br />1• County La Playa <br />2.. Acreage of af:ected lands 9,5 Acres <br /> (local surface acreage to bn <br />included Sa perait) <br />8: Application fe• (See applicable Zule 5125.00 <br /> co decaraiaa araune} _ _. <br />