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diiiuminmii999 <br />DEPARTMENT OF NATURAL RESOURCES <br />* o '.� * David H. Getches. Executive Director <br />4L MINED LAND RECLAMATION <br />a <br />1876 * DAVID C. SHELTON, Director <br />Richard D. Lamm <br />Governor <br />REGULAR (112) PERMIT <br />APPLICATION FORM <br />Application for Mining and Reclamation Permit, Pursuant to C.R.S. 1973, 34-32-101, <br />et seq, as amended. <br />(Type of Print Clearly) <br />1. Name of Operation <br />(pit, mine or site name) Rifle Quarry <br />2. Name of Applicant/Operator <br />(name to be used on permit) Colorado Lien Company <br />3. Address and Phone Number of, P. 0. Box 1961, Ft. Collins, Co 80522 <br />Local Office 303/493-7017 <br />4. Address and Phone Number of <br />General Office <br />5. Name and Phone Number of Person Robert J. Olson <br />Staff Members Should Contact 303/493-7017 <br />6. Parent Corporation, If Any <br />(include name and address) <br />i <br />7. Owner(s) of Record of Affected <br />Land (surface area) <br />(if more than two, list in <br />EXHIBIT P) <br />Bureau of Land Management <br />I� <br />8. Owner(s) of Substance to be Colorado Lien Company <br />Mined (if more than two, list Bureau of Land Management Mining Claim <br />in EXHI3IT P) I <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />