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~ III IIIIIIIIIIIII III ~~~ . .1~ ~..~~ ~3 <br />DEPARTMENT OFNATURi yyy MAY 1~19~ <br />David H. Gelcnox Exocutive Director <br />pJtl~li sDLTL.ARf~DtRECL~MATI®N l~l',V~~~t,4''~'~ireloaa ~ <br />,: <br />Rlcnara 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 sag, as amended. <br />(Type of Print Clearly) <br /> <br />1. Name of Operation <br />(pit, mine or site name) <br />The Chri i n i <br />2. Name of Applicant/Operator <br /> (name to be used on permit) I Cooley Gravel Company <br />3. Address and Phone Number of P. 0. Box 5485 TA <br /> Local Office I Denver, CO 80217 (303) 697-1401 <br />4. Address and Phone Number of Same as Above. <br /> General Office <br />5. Name and Phone Number of Person Kathleen K. Moss - Resource Planner <br /> Staff Members Should Contact I (303) 697-1401 <br />6. Parent Corporation, If Any J. L. Shiely Co., Inc. <br /> (include name and address) 1 1101 Snelling Avenue North <br />St. Paul MN 55108 <br />7. Owner(s) of Record of Affected Martin Christian <br /> Land (surface area) <br /> (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be Cooley Gravel Company <br /> Mined (if more than two, list <br /> in EXHIBIT P) <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (30'x) 866-3567 <br />