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PERMFILE53554
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PERMFILE53554
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Entry Properties
Last modified
8/24/2016 10:56:57 PM
Creation date
11/20/2007 3:49:09 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985043
IBM Index Class Name
Permit File
Doc Name
LIMITED IMPACT 110 & SPECIAL 10-DAY PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />-z- <br />Tele: - <br />3. Address and Phone ivumoer of 2635 Steel Dr. <br />Local Uffices Colorado Springs, CO 80907 <br />~4. address and Phone Number of Same <br />General Uffices <br />5. Name and Phone Number of Person Donald A. Rapp <br /> Staff hlemoers Should i:ontact 794-7418 <br />6. Uwner(s) of Record of Affected Land Robert Stack, Jr. <br /> (surface area) (If rnore tnan 2, list below) 3131 Barrett Rd. <br /> Colorado Springs. CO 80906 <br />1. Uwner(s) of Suostance to oe Mined Robert Stack, Jr. <br /> (If more than 2, list below) <br />B. Source of Legal Right-To-Enter Lease <br /> (Indicate what type of proof is <br /> included in EXHIBIT G -lease, <br /> deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be t4ined Rock Quarry <br /> (Specify underyround, open pit, <br /> quarry, etc. b suostance(s) to <br /> oe mined) <br />lU. General Location and Elevation Approx. 16 miles southwest of <br /> (Miles & direction from nearest Colorado Springs west of Hwy <br /> town & approximate site elevation) C-115 @ 7350' elevation <br />11. county Fremont <br />12. Acreage of Nffected Lands 9 acres <br />9 <br /> (Total surface acreage to be . <br /> included in permit) <br />13. Application Fee (See applicable <br />Rule to determine amount) $125.00 <br />
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