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IIIIYItllllllll 14WEireu <br />Q� DEPARTMENT OF NATURAL RESOURCES JUN 1 71985 <br />b) fy David H. 0etchea. Executive Director <br />MINED LAND RECLAMATION y LA i <br />%e �6 * DAVID C. SHELTON, Director �t�N �lVi <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. <br />Name of Operation <br />(pit, mine or site name) <br />Rifle Quarry <br />2. <br />Name of Applicant/Operator <br />(name to be used on permit) <br />Colorado Lien Company <br />3. <br />Address and Phone Number of' <br />Local Office <br />P. 0. Box 1961, Ft. Collins, CO 60522 <br />303/493-7017 <br />4. <br />Address and Phone Number of <br />General Office <br />5. <br />Name and Phone Number of Person <br />Staff Members Should Contact <br />Robert J. Olson <br />303/493-7017 <br />6. <br />Parent Corporation, If Any <br />(include name and address) <br />_ <br />7. <br />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 />B. <br />Owner(s) of Substance to be <br />Mined (if more than two, list <br />in EXHIBIT P) <br />Colorado Lien Company <br />Bureau of Land Management Mining Claim <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />