PERMFILE51480

• Permit No: M1986016
• IBM Index Class Name: Permit File
• Doc Date: 2/27/1986
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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DEPARTMENT OFNATURALRESOURCES
DeviO M. Getcnea E.ecutne Director
MINED LAND RECLAMATION DIVISION
'E OF[fP69C 'lA9BEl~~~l, Dlrrrotor
C("'i?'t'S' OF G1'EP9 JJ
RiUera D. L``mm
Govsmod her :-7 ccrti;Y that this iL.,cI. -..._..• .._ ;
!il_.: for re• ding c` ~ `!:"~a ~
p'c~_k ~7.~1986 r~GULAR (112) PERMIT
1\'~aseuti .--,..P-.-_~ APPLICATION FORM
~II ~I~~I~~I~~~~~~I~
999
t' uty.
Applicatti0fl`"`Pot`-MiRiiig ah3'~clamation Permit, Pursuant to L.R.S. 1973, 34-32-101,
et s~ce as amended.
(Type of Print Clearly)

1. Name of Operation
(pit, mine or site name)
Caldwell Brothers Pit ~~3
2. Name of Applicant/Operator Caldwell Brothers
(name to be used on permit) I c/o Wayne Caldwell
3. Address and Phone Number of ~ 25026 Rd. 19, Rocky Ford, CO 81067
local Office I 254-7070 or 254-3210
4. Address and Phone Number of
General Office I Same
5. Name and Phone Number of Person Donald A. Rapp 794-7418 or
Staff Members Should Contact ' Terry Alills 384-5956
6. Parent Corporation, If Any
(include name and address) ~ ~ on e
7. Owner(s) of Record of Affected l~'a}*ne Caldwell and
Land (surface area) I Dennis Caldwell
(if more than two, list in
EXHIBIT P)
8. Owner(s) of Substance to be Wayne CalrtwPll and
Mined (if more than two, list ~ Dennis Caldwell
in EXHIBIT P) I 1
APR 10 ~'6
ININEA LANG REClAN1ATIQN
Cob. D1pt. of MaI1KJ1 RMOUroea
423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (30'x) 866.3567