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`J/78~ RF.GUL. (112)-PEP.NIT A?PLICArIOiJ FOP,M <br />~,;;•: ~ • <br />State of Colorado Application forlining and <br />~•~Depar[men[ of Natural Resources Reclamation Permit, Pursuant <br />MINED LAND RECLAMATION BOARD J.-!1 - J 1980 to CRS 1973, 3+-32-101 et seq <br />,1313 Sherman Street, Room 723 <br />Denver, CO 80203 (303)83°-3567 ~"" ' !.'^;n `iFCLAMP,TION ~~ I~ IllO , 0 ~_ ~'' U <br />.., d ..~,~„~~~ °eseu~ces Y <br />(Type or Print Clearly) <br />1. Name of operations <br /> <br /> (Pit, mine or site name) <br />2. Name of applicant/operator 4Jeld COUnt Colorado <br /> (Name to be used on <br />er <br />it) <br /> p <br />m <br />3 <br />. Address and phone numoer of <br />. local offices lROD~ of Engineering (3056-4000 Ext <br /> P.O. Box 758 Greeley, Colorado 80631 <br />4. Address and phone number <br /> of general offices De artment of En ineerin P.O. Box 758 <br /> 6reele~ Colorado 80631 303 356-4000 Ext. <br />5. Name and phone number of person Drew Scheltinga, 356-4000 Ext <br />~dayne Smyth <br /> staff members should contact , <br />-'-----•- -• <br /> <br /> _ <br />Western Technical Services <br /> <br />o. <br />Parent Corporation, if any _ <br />_ <br /> (Include name E address) !Meld County, Colorado <br /> <br />7. Cwner(s) of record of affected <br /> land (surface area) 'Meld Couht <br /> (If more than 2, list in EXHIBIT P) <br />,8. Owner(s) of substance to be mined <br /> (If mu n_ Chan 2 <br />list in EXHIBIT P) 'Held Coin _ <br /> , <br />9. Source of legal right [o enter <br /> (Indicate what type of proof is Executor's Deed <br /> included in EXHIBIT 0) -- NOT'c: Sze <br /> RULE 9.1(3), Rules b Reas,-~6. <br /> <br />10.. <br />Type of min_ S substance to be mined i <br /> (Specify underground, ,trio, open pit, DOen Pit <br /> <br />etc. and substance(s) to be mined). _ <br /> Gravel <br />11._ General location o elevation (miles b 3 miles north, 1 mile west Of Fort Lupton, <br />--- - <br /> direction from nearest town b approxi <br /> mate site elevation) <br />_ Colorado 4850 feet elecation <br />12. _ <br />County <br />_ Weld <br /> <br />13. <br />Acreage of affected lands (Total ____ ____ <br /> surface acreage to he included in 79.462 acres or approximately 80 acres <br /> permit (See RUL`_ I for definition). <br />14. Application fee lSee RULc 2 to A <br /> de'ermine amount) <br />15. Present land use (i.e., agricultur°,l, <br /> industrial, etc.) a <br />_ A ricultur <br />e_ _!' <br /> <br />IE•. <br />Surrounding la.~d uses _ <br />_ <br />_ a <br /> r~cultural Conservation _ <br /> <br />17. Pr;oosed future land use (Final use Conservation and !`lildlife Habitat <br />---- <br />--'- -'- <br /> after reclamation) I -- <br />- <br /> <br />i8. Unpermi[ted minlnc operations (See <br />See attached pag <br /> R!:LE 2 <br />1 1 (18) e <br /> . - -!_-_- <br />a <br />7 <br />75G <br />~7U <br />• "7~-` <br />.~ <br />-r'' ~ _~~?S.>"-' ~~~ ~ ;~~i ., (over) <br />_.~.~ <br />