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J <br /> a4 III I11I11I1IIIIl 111. • • <br /> mow 999 <br /> He .• ,,a,i, �}$ DEPARTMENT OF NATURAL RESOURCES <br /> )1, Oavid K Getchea Executive Director <br /> a. DIVISION MINED LAND RECLAMATION <br /> 47 • DAVID C.SHELTON,Director D S �N 1 <br /> Richard D.Lamm i . 4' <br /> rn <br /> Goveor int;tai <br /> REGULAR (112) PERMIT <br /> FEB 101986 APPLICATION FORM <br /> Application fo n " LTIONermit, Pursuant to C.R.S. 1973, 34-32-101, <br /> et seg, as ameriffeh °E"' <br /> c1- $lr-r)114 .37>R $R/(-DD Oci.er . S.3 7/ <br /> (Type of Print Clearly) <br /> 1. Name of Operation <br /> (pit, mine or site name) Caldwell Brothers Pit #3 <br /> 2. Name of Applicant/Operator Caldwell Brothers <br /> (name to be used on permit) c/o Wayne Caldwell <br /> 3. Address and Phone Number of 25026 Rd. 19, Rocky Ford, CO 81067 <br /> Local Office 254-7070 or 254-3210 <br /> 4. Address and Phone Number of <br /> General Office Same <br /> 5. Name and Phone Number of Person Donald A. Rape 794-7418 or <br /> Staff Members Should Contact w Terry Mills 384-5956 <br /> 6. Parent Corporation, If Any <br /> (include name and address) � None <br /> 7. Owner(s) of Record of Affected Wayne Caldwell and <br /> Land (surface area) I Dennis Caldwell <br /> (if more than two, list in I <br /> EXHIBIT P) <br /> 8. Owner(s) of Substance to be hWayae Ca]dyaPl 1 �nrl <br /> Mined (if more than two, list I Dennis Caldwell <br /> in EXHIBIT P) I <br /> 423 Centennial Building, 1313 Sherman Street Denver,Colorado 80203 Tel.(301)866-3567 <br />