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<br />II <br />I <br />r~ <br />~_ <br />r <br />~~ <br />tl 6 1.. <br />S ~ P - 6 1979 <br />PJ~fFiFD UtND RECLAMATION <br />Cuia. tip(. of Natural Resources <br />/~. <br /> <br />7178 REGULAR (III) PERMIT APPLICATION FORM <br />/ a. <br />Pfv6m/ffd <br />SbCe of Colorado Appllutlon for Nininq and <br />Department of Natural Reaourcea Reclamation -erolC, -unuant <br />MINED LAND RECLAMATION BOARD to CRS 197). )4-32-101 •t ae4 <br />1313 Sharwan SVaat, Pmm 727 r _ <br />Denver, CO 8020) (ID3)8399567 ~'/~ /]/. 7`1 ~oS3~ <br />(Type or Print Clearly) j '~~ <br />1. Nerve of opa ntlona a P1t 77-63/.~ <br />(Pit, elne or alts none) <br />2. Nano of applicant/oPa rotor <br />(M <br />b <br />t <br />d <br />i <br />) <br />ane <br />e use <br />o <br />on pen <br />t .xg y <br />3. Address and phone number of <br />l <br />l <br />ffi <br />oca <br />o <br />ces <br />56B-¢BIt <br />4. Address and phone number <br />of guaral o/f ice! <br />P°o.~'s:~Nlgbrw B9 <br /> Ca k Cotoredp BOl D/ <br />5. Nams and phone numMr of person <br />ff <br />h <br />h <br />t <br />ld 6116ert F. Rindehl (321-0242) <br />s <br />aem <br />ers s <br />ou <br />a <br />conuct <br />6. Parent Corporation, It any <br />(Include naves a addnsa) <br />RamsOUr Brothers, Inc. <br /> Ig ay <br />Lastle Rock, Colorado BO100 <br />7. O,msr(s) of surd of effected <br />land (surfau •ru) peal Byron 6uenella <br />(If more than I, Ilat In ESMIBIT P) <br />8. Dane r(s) o/ substance to Da wined <br />(If mon [hen 2 <br />Iist In E2x IB IT P) pool Byron Guanella <br />, <br />9. Souree Of legal right to enter <br />(Inds ate whst typo of proof Is <br />See Eshiblt '0" <br />Included In E2N 1817 0) -- NOTE: See <br />RULE 9.1(7), Rulaa c Pags,.p. 46. <br />10. Type of elna 4 substance to be •Insd <br />(Spsei/y underground( strip, open pit, <br />0 n P1t 6revel and Sand <br />att. and substance (a) to be mined). <br />I1. 6enenl loutlon s dsvniu (ei lea 4 Neer~NOrtleRSt ed ! of Town Of ETMre. CoTOra <br />d fraction /rw nee root town a ePDroai <br />veto site •levetiu) ~~ U.S. N1gNNep 4tln-spPrOitwstelY 8600 1!e <br />L <br />I2. County <br />leer freak <br />13. Acrsapa o/ affected lands (TOtsl <br />surface acreage to 6e Included In <br />118 <br />permit (See wLE 1 for definition), <br />14. Appll4tlen tee (sea wLE 1 to <br />determine amount) / 3 5 l/ • / o~ ~- <br />\ <br />(Prertously aelaltted) <br />15. Prosent land use (I. e., agricultur1l, <br />industrial, etc.) <br />1n5n 9aM and 6revel <br />16. Surrounding land uau <br />17. Proposed fu[un lend use (FI41 use 51d11fe haDttat <br />after recle.atlen) <br />ossible eater stns e <br />IB. Unpenitted wining epeeatlona (Sea <br />RULE 2 <br />11(ID) <br />F~hiblt "N' <br />. <br />- (ever) <br /> <br />do <br />