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J-`~ <br />of ~ ~o~ <br />,~~: = .~ <br />¢' 9O <br />~ O <br />IH <br />1F <br /># ~+ <br />' 1876 s <br />• ~l! riiili~~liiii~- <br />DEPARTMENT OF NATURAL RESOURt;ta <br />David H. Getches, Executive Director <br />• <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SHELTON, Dlreetor <br />Richartl D. Lamm <br />Governor yy <br />~m~•r ~~~ <br />.~ <br />LIMITED IMPACT (110) AND <br />SPECIAL TEN-DAY (111) PERMIT <br />APPLICATION FORM <br />:fin V{1. ~)';::' t.t~ <br />9EP 2 91986 <br />Application for Mining and Reclamation Permit, pursuant to C.R.S. 1973;;'"34,-32-101, ~ - <br />et seq, as amended. ~~ ~ .- <br />The following explanations cover Limited Impact applications (110'5) and Special <br />(Ten-Day Processing - 111'5) applications. In the interest of efficient processing, <br />please check the appropriate box to indicate which type of application you are applying <br />far. 111 permits may be issued only under special circumstances. Be sure you are <br />eligible. <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 the <br />mine, and must extract LESS THAN 70,000 tons of mineral, overburden or <br />combination thereof per calendar year. If the affected area is some fraction <br />greater than nine acres, be sure NOT to round this figure up to ten acres in <br />the narratives or elsewhere. <br />I_I SPECIAL (ten-day processing) operations are any sand, gravel, or quarry <br />aggregates operations which are to be operated for the sole purpose of <br />obtaining materials for highway, road, utility, or similar-type construction <br />under a Federal, State, county, city, town, or special district contract where <br />the contract calls for work to be commenced within a specifically short time <br />and which will affect ten acres or less (including all roads, stockpile areas, <br />and any other surface facilities). <br />INSTRUCTION: This application and all accompanying materials as outlined below must be <br />submitted in duplicate. For further guidance, and information for Limited <br />Impact Operations, see Rule 3 and for Special Permits, see Rule 4. <br />(Type or Print Clearly) <br />1. Name of operation ~~ ~ V ubYYy <br />(Pit, mine or site name) ~~u~`oN~h~ ~ IlrjoMUIII~' ~tJa yy~ <br />I` ~ <br />2. Name of Applicant/Operator I <br />(Name to be used on permit) I eOKdr~ ~QUI`ONe~ <br />423 Centennial Building, 1313 Sherman Street Denver, Cotorado 80203 Tel. (303) 866-3567 <br />