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Li1ITLD L'!'.a!'T (110) a-d <br />SPEC IAL9Tt.;G1II0V(r02`t ~co-SIT ~ III'lllllllllllllll <br />~ 999 <br />State of Colorado `!~ "-'~~~`~ ~~ ~pnlication for :fining and <br />Departaent of :7atural Resources Reclamation Permit, pursuant <br />22`Ic'D L.L`fD RECLAhLaTION 80APTJ [o CRS 1973, 34-32-101, et seG <br />1313 Sherman Street, Room 423 Ni ~' 0 ~ ~9~'2 <br />Deavnr, CO 80203 (303) 839-3.567 <br />. ....v ~ J Ii!'I,L <br />The Polloviag explanaeirnis cover rLrL$ip6'd~ I~ne't"i',fdtl~a'Cdons (110's) and Spacial (Tan- <br />Day Procassing)(111's) applications. In the Interests of officient processing, please <br />chess the appropriate bo:c to indicate which type of application you are applyia3 Eor <br />here. 111 permits nay bt: issued only under special circumstances. Se sure you are <br />eligible. <br />LLSIT~ L`IP9CT OP~i:.TIO:iS gust disturS Lc55 THAN ten acres (iacludL^!g all <br />roads, stockpile ara~as and nay ocher surface facilities) over thn Life of <br />the mine, and must estract LESS T3A.Y 70,000 cons of mineral, overburden or <br />conhin.ation thereof per calendar year. If the affected area is some Fraction <br />greater than nine acres, be sure YOT co road this figure out co tan acres in <br />the narratives or el.sesrhere. <br />,~ SPECT~i. (T~`I-DAY PROCESSL~IG) operations must disturb LESS THd.Y ten acres <br />(including all roads, stockpile areas and nay other surface facilities), <br />and can ONLY be obtained where a federal, state, county, city, coon or <br />special district contract calls for raork to be commenced within a SPEC LsICLLLY <br />SHORT TLSE. <br />(Type or Print Clearly) <br />1. Kane of operation <br /> (Pit, mine or site name) <br />?. Yana of applicant/operator <br /> (tame to ba used on perait) <br />3. address and phone number of I r.n~nr rln <br />8uxlin~t= n <br /> local of-`ices r <br />~ 6-8133 3116-811!6 <br />+. Address and phone number of <br /> general of_`ices <br />5. Vama and phone cumber of person I David Richards <br /> staff menbers should contact 3(16-81116 - 346-7415 <br />6, O~r,.er(a) of record of af'_ectedsnd I Berry Brenner <br /> (sur'_ace areaX T-f more than 2, Ls t beiow) ~- <br /> <br />i. i <br />Occner(s) of substance to bra mined <br /> (If yore than 1, list Selov) <br />9. Source of legal right to enter <br />(Indicate what type of proof is <br />Verbal Agreement <br /> included is e.R'dIBIT G - lease, <br />dead, notarized latter, etc.) <br />9. Type of mine 6 substance co be <br />wined (Specify underground, scrip, <br />Road Gravel <br /> open pit, etc. 6 substance(s) to <br />be mined) <br />I0. General location b elevation <br />(?Lil <br />S di <br />i <br />E <br />15.5 N - 2E - 1N - 2,5 E <br /> es <br />on <br />rect <br />ton ne<.rest <br />tocra 6 aporox'~ate site elevation) <br />DurlinPton. Colorado <br />11. Connty I <br />Kit C: rson <br />1.".. acreage of affected '_ands ~ <br />(Tot>> surface acreage to be <br />`_ncluded is per='t) 3 Acres <br />13. Apnlicatian fee (See a]p1iC3Jle <br />RI.Z. co'detersiae amount) <br />1». ?resent '_and use (i.e., ag:•'_- <br />culc_ral, icduscrial, ___.) <br />_5. Proposed Fu cure land use <br />(Goal of rec'_avatic^.) <br />,p$~ i +„ <br />I <br />APriculture <br />(„re rl <br />