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`: - ~ II IIIIIIIIIIIII III <br />LIMITED It~ACT AND SPECIAL (TEN-DAY) <br />PE APP L ~3~ri~~_ <br />STATE OF COLORADO Application for Piining <br />Mined Land Reclamation Board ~;IP.Z ~,_ Ic31$ and Reclamation Permit, <br />Department of Natural Resources Purauaat to C.R.S. 1973, <br />1313 Sherman Street, Room 723 34-32-101 at ae <br />Deaver, Colorado 80203 (/iliV~J Lkfei! RtCLHtfµli~U 4' <br />Colo. Dept. of Id3turdi Reso~ rtes <br />LIMITED II~ACT OPERATIONS must disturb LESS T3AN ten acres (including all <br />roads, stockpile areas and any other surface facilities) over the life of <br />the mine, and must extract LESS THAN 70,000 Cons of mineral, overburden <br />or combination thereof per calendar year. If the affected area is some <br />fpaction greater than nine acres, be sure NOT to round it up eo ten acres <br />iR the narratives or elsevhere. <br />SPECIAL (TEN-DAY PROCESSING) operatiana must disturb LESS THAN ten <br />aczes (including all roads, stockpile areas and any other auaface <br />facilities), anr' can ONLY be obtained where a federal, state, county, <br />city, tovn, or special district contract calla for wrk to ba <br />commenced within a SPECIFICALLY SHORT TIME. <br />TYPE OR PRINT CLEARLY F~ I r I u D, ~~- ry 1 <br />1. Name of operations _ __ <br /> (Pit, mine, or site name) <br />,6rstvel. <br />2. Name of applicant/operator b~B91n (ioranLv <br /> (Name to be used on perait) <br />3. Address and phone.nuaber of Lisscoln CoanLy,-.P.ourt Hous® <br /> local offices Ce. $O$21 h - <br />4. Address and phone number Same <br /> of general offices <br />5. Name sad phone number o± person -+~_pw~ <br /> staff members should contact , 743-2337 or 743-z2G9 <br />6. Ovner(s) of reccrd of affected Henry P. & Lela Daugherty <br /> laced (surface area) <br /> (If more than 2, list below) <br />7. Owner(s) of substance to be mined Same <br /> (If more than 2, list below) <br />8. Source of legal right to enter Verbal Contract - See "G" <br /> (Indicate what type of proof is <br />included is Exhibit G - lease, deed, <br /> notarized letter, etc.) <br />9 f mine 6 substance to be mined <br />e <br />T Open Pit -,~rl <br />. o <br />yp <br />(Specify underground, strip, open pit, <br /> etc. sad substance(s) to be mixed) <br /> <br />.0. General location b elevation (*L'las <br />b direction from nearest town S <br />See Map. Approximate Elev. 49$0' <br /> approximate site elevation) <br />:1. County ;fin <br />.2. Acreagn of affected lands ~r~e. <br /> (Total surface acreage to be <br />included in permit) <br />.3:. Application fee (See applicable Rule ~ (U ou,ha•) <br /> to detezmiae amount) <br />~:. <br />-... . <br />