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~ iii iiiiiiiiuiiiiu ~ <br />REGULAR (112) PERMIT APPLICATION FORM <br />STATE OF COLORADO Application for 241ning and <br />Mined Land Reclamation Board ' Reclamation Permit, Pursuant <br />Department of Natural Resources to C.R.S~{C'3!'~.~=D ~[!JS'4eA seq. <br />1313 Sherman Street, Room 723 __ ~-- -~ -~~~~~~= ~- <br />Denver, CO 80203 ~ ~-~ / _ ~7a~ <br />TYPE OR PRINT CLEARLY SEPL 71977 <br />1. Name of operations MESITA HILL MINED LANG RECLAMATION <br /> (Pit, mine, or site name) - '~oio. epl. of Natural ResourC9S <br />2. Name of applicant/operator COLORADO AGGREGATE CO., INC. <br /> (Name to be used on permit) <br />3. Address and phone number of P.O. BOX 24 - BLANCA COLORADO 81123 <br /> local offices 303-379-360P <br />4. Address and phone number P.O. BOX - MESITA, COLORADO 81142 <br /> of general offices 303-672-4408 <br />5. Name and phone number of person MAJOR ORINGDULPH <br /> staff members should contact 379-3600 <br />6. Parent Corporation, if any N/A <br /> (Include name b address) <br />7. Owner(s) of record of affected COLORADO AGGREGATE CO. INC. <br /> land (surface area) P.O. SOX 106 <br /> (If more than 2, list in Exhibit P) MESITA, COLORADO 81142 <br />8. Owner(s) of substance to be mined COLORADO AGGREGATE CO., INC. <br /> (If more than 2, list in Exhibit P) <br />9. Source of legal right to enter PHOTOSTAT OF DEEDS OF RECORD <br /> (Indicate what type of proof ie <br />included in Exhibit 0 - lease, deed, <br /> notarized letter, etc.) <br />10. Type of mine b substance to be mined OPEN PIT - VOLCANIC SCORIA <br /> (Specify underground, strip, open pit, <br />d s <br />bsta <br />e(s) to be mined) <br />t <br /> e <br />c. an <br />u <br />nc <br />11. General location & elevation (Miles 2 Miles North b West of Mesi olor <br /> S direction from nearest town 6 <br />roximaCe Bite elevation) Elevation - 7794 <br /> app <br />12. County COSTILLA <br />13. Acreage of affected lands <br />(Total surface acreage to be 160 ACRES <br /> included in permit) <br />14. Application fee (See Rule 2 to $1560.00 <br /> determine amount) <br />15. Present land ude <br />l <br />i NOT BEING USED AT ALL - SUITABLE ONLY FOR <br /> (i.e., agricu <br />Cural, industr <br />al, etc.) RANGELAND AND WILDLIFE <br />16. Surrounding land uses RANGELAND AND WILDLIFE <br /> <br />17. Proposed future land use ~ RANGELAND AND WILDLIFE <br /> (Goal of reclamation) <br />18. Other mining permits b operations NONE <br /> in Colorado (See Rule 2 for guidance) <br />19. The lands herein do not affect any of SEE ATTACHED <br /> the lands described in Section <br />1.56(9) S ecif affirmation) <br />ADMINISTRATOR <br />