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iiiiiiiiiiuiiuiii . <br />9 8 <br />L. ITED IMPACT P,iW SPECIAL (TEN-DtiY) <br />PERMIT AP,!PLICATIO"I FORM <br />STATE OF COLORADO ~ ~!~ <br />Pfined Laad Reclamation Board <br />Department of Natural Resources <br />1313 Sherman Street, Room 723 (~U G 2~ ~9~8 <br />Denver, Colorado 80203 <br /> <br />Application foz Paining <br />and Reclamation Permit, <br />Pursuant to C.R.S. 1973, <br />34-32-101, et seq. <br />MINED LAND RECLAMATION <br />LII3ITED L~IPACT OPERATE®~5~~,pfp~9tCgb8e4iE$',~sPIiAN 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 tons of mineral, overburden <br />or combination thereof per calendar year. If the affected area is some <br />fraction greater than nine acres, be sure NOT to round it up to ten acres <br />in the narratives or elsewhere. <br />SPECIAL (TEN-DAY PROCESSING) operations must disturb LESS THAN ten <br />acres (including alI roads, stockpile areas and any other surface <br />facilities), anr' can ONLY be obtained where a federal, state, countq, <br />city, town, or special district contract calls for work to be <br />commenced within a SPECIFICALLY SHORT TII4E. <br />TYPE OR PRINT CLEARLY /"/~C' ~~~' 7D ^ ~ / / <br />1. Name of operations GOLDMAN GRAVEL PIT <br /> (Pit, mine, or site name) <br />2. Name of applicant/operator Garfield County, Colorado <br /> (Name to be used on permit) <br /> <br />3. <br />Address and phone number of Garfield County Board of County <br />P. 0. Box 640 Commissione <br /> local offices Glenwood Springs, Colorado 81601 945-6892 <br /> <br />4. <br />Address and phone number Garfield County Planning Office <br />2014 Blake Avenue <br /> of general offices enwoo orings, o ora o <br />945-8212 <br />5. Name and phone number of person Mr. Robert Witkowski, Director <br /> staff members should contact I 945-8212 <br />6. Owner(s) of record of affected ~ <br /> land (surface area) Mr. Donald K. Goldman <br /> (If more than 2, list below) <br />7. Owner(s) of substance to be mined Mr. Donald K. Goldman <br /> (If more than 2, list below) r. eorge Orman o man <br />8. Source of legal right to enter Notarized letter attached. <br /> (Indicate what type of proof is <br />included in Exhibit G - lease, deed, <br /> notarized letter, etc.) <br />9. Type of mine 6 substance to be mined Open Pit - hard rock road base g ravel <br /> (Specify underground, strip, open pit, <br /> etc. and substance(s) to be mined) <br />0 General location 6 elevation (Miles Approximately five (5) miles Southeast of <br />. 5 direction from nearest town 6 Silt, Colordd0 <br /> I <br />approximate site elevation) <br />Elevation - 560i? feet from sea level <br />1. County I Garfield County <br />2. Acreage of affected lands 8.5 ACres <br /> (Total surface acreage to be <br />included is permit) ~ <br />3. Application fee (See applicable Rule $110.00 ~ <br /> to determine amount) <br />rs <br />