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~- i <br />REGULAR 112 PERMIT APPLICATION FORM <br />STATE OF COLORADO ~ },~~ 6Q~~ ~.~ Application for Mining and <br />Mined Land Reclamation Board ~` Reclamation Permit Pursuant <br />Department of Natural Resources to C.-R.S. 1973, 3432-101 et sea <br />1313 Sherman Street, Room 723 ,- ~ ~ 1977 <br />Denver, CO 80203 (li, I ~ _ <br /> <br />-- <br />- -- TY$$:'Ok pRIN ' I'Jli <br />T'CL'EiiRLY" ~ ~~ ~~ <br />~~ZZ <br />1. Name of operations "~ <br />Herman Feit Pit <br /> (Pit, mine, or siCe name) <br />2. Naroe of applicant/operator <br />(Name to be used on permit) , <br />-~OD'~P17 Rr r_h=~-r"", <br />3. Address and phone number of __ 454-3344 <br /> local offices Eaton, Colorado <br />4. Address and phone number P.0. Box 427 <br /> of general offices Eaton, Colorado 454-3344 <br />5. Name and phone number of person ~ GeorQe Goodell <br />454-3344 <br /> staff members should contact Ron Luttrell 454-3344 <br />6. Parent Corporation, if any N <br /> (Include name 6 address) <br />7. Owner(s) of record of affected <br />land (surface area) t:a;r~ n„rrr,y_~,iy,~Fa;r <br />Donald E. Fait, Mildred'FE~it <br /> (If more than 2, list in Exhibit P) <br />8. Owner(s) of substance to be mined <br />o <br />tha <br />2 <br />list in Exhibit P) <br />(If Herman D. Fait, Dorthy June Feit <br /> m <br />, <br />re <br />n Donald E. Fait, Mildred Fe~it <br />9, Source of legal right to enter <br /> (Indicate what type of proof ie <br />included in Exhibit O - lease, deed, <br /> notarized letter, etc.) <br />10~. Type of mine 6 substance to be mined 0 en Pit Mine. <br /> (Specify underground, strip, open pit, <br />and aubetance(s) to be mined) <br />etc Rock, Gravel and other Earthen Materials <br /> . <br />11. General location S elevation (l~fi.les '1 ec No hand 1/lfi m •le wocr ~f rraela <br /> <br />6 direction from nearest to•„m b <br />roximate si* <br />e elevation) <br />a <br />Elevation a roximatel y <br />4E80 <br /> pp <br />_ <br />12. County <br />13. Acreage of affected lands <br />(Total surface acreage to be <br />{0 acres more or less <br /> included in permit) <br />14. Application fee (See Pule 2 to. 500.00 <br /> determine amount) <br />15. Present land use <br />ral <br />industrial <br />etc <br />e <br />a <br />ric <br />lt <br />) <br />(i Agricultural <br /> ., <br />g <br />u <br />, <br />, <br />. <br />. <br />u <br />16. Surrounding land uses <br />•-i <br /> <br />17. Proposed future land use <br />W;tdt;fe ar a <br /> (Goal of reclamation) <br />18. Other mining permits b operations Mur h Pit-East of Wi i ns., Colorado <br /> <br />19. in Colorado (See Rule 2 for guidance) <br />The lands herein do not affect any of <br />the lands described in Section <br />1.56(9) (S ecif affirmation) <br />NONE <br />