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• III IIIIIIIIIIIII 111 ~ ~~3~,° 6~ REVISED <br />RFr'L~7.~R ~] 1 FORM a°' <br />-- -- -i'C'~L~~~~~-=--- 9 ~ DATE ,,~k 23 ,Z, <br />STATE OF COLORAllO - Application .Eor Mining and <br />!tined Land Reclamation Board FE a ' Z 978 Reclamation :Permit, Pursuant <br />Department of t;atural Resa~rces to C.R.S. 1973-34-32-10I et sc <br />1313 Shcrcaan Street, Room 723 `- - <br />Deirver, CO 80203 MINED LAND RECLAMP,TION <br />Colo. Dept. of Natural Reso;.~rces ~ Z.~~ ~ as <br />T'fPE OR PFINT CLEARLY <br />1. tame of operations Herman Feit Pit <br /> (Pit, mine, or site name) <br />Z. ;~`ame of applicant/operator <br />(dame to: he used on permit) <br />---GO°dP~"- A rh $~-~'r• <br />3. Address and phone member of 2 454-3344 <br /> Iocal offices Eaton, Colorado <br />4. Address and phone number _P.O. Box 427 <br /> of general offices Eaton, Colorado 454-3344 <br />5. 'Name and phone number of person ~ Georpe Goodell 454-3344 '' <br /> <br />staff members should contact _ <br />Ron Luttrell 454-3344 <br />6. ParenC~Corporation, if any NONE <br /> (Include name b address) .. <br />7. Oen;er(s) of record of affected <br />land (surface area) 13e roman n F ;r~ n rhy Tiro Fair <br />Donald E., Feit, Mildred Fei.t <br /> (If more than 2, list in Exhibit P) _ <br />8. <br />' Owner(s) of substance to be mined <br />ore than 2 <br />list in Exhibit P) <br />(If Herman D. Fait D ~ <br />. otrthy. Jurie Feit <br /> , <br />m - <br />Donald E. Fait, Mildred Fei.t <br />9. -Sourcr pf legal right to enter OPTI0~1 _ <br /> (Indicate what type of proof is <br />included in Exhibit 0 - lease, deed, •~ <br />~ ` <br /> notarized letter, eCC.) <br />10. Type of Caine S~subetance to be mined 0 en'Pit Mine <br /> (Specify undesgrourd, strip, open pit, <br />and aubLtance(s) to be mined) <br />etc Rock, Gravel an Earthen Materials <br /> . <br />11. General location b elevation (Miles •lP~ NDrtti a,~ h/ <br />6 m; lr~ <br /> 6 direction from nearest to•.m b <br />~ elevaticn) <br />roximate si* <br />a ~ <br />Elevati M ximate t0 <br />- <br /> _ <br />pp _ °' ~~ N~ <br />12. County °fNa~CCq,~q.. <br />13. Acreage of affected lends <br />(Total surface acrecge to he S0G'i°es <br />18 acres more or less;. <br /> included in permit) -- - - -- <br />14. Application fee (See F.ule 2_ to $320: 00 <br /> detenalne amount) _,,.. 200.00 pd. 10-77 ' 120.00 due_ ~d. <br />15. Present land use -... <br />industrial <br />(i <br />e <br />a <br />tal <br />i <br />lt <br />t <br />) Agricultural <br /> , <br />. <br />., <br />gr <br />u <br />cii <br />, e <br />c. <br />l6. Surrounding land uses ~ eg rirnltnrol ~ A T Anctri n' <br /> <br />17. Proposed future"land use •' -- <br /> (Goal of reclamation)' •• <br />18. Other mining permits 6 operations Mar h Pit East of Wi ins Colorado <br /> in Colorado (See Rule 2 fot guidance) <br />19. Th2 lands herein do not affect any-of NOtiE~:`:•. _ ~'" <br /> the lands described in.Section .. <br />1.56(9) (S ecify affirwatioa) _ ~ ."- <br />