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-.~~`a ~„ :~ P ~z`*Ix .LAP ~?CAx;cr: a~ II IIIIIIIIIIIIIIII <br />STATE OF COLORACO Application for Mining and <br />Mined Land Raclaritation 3ea:d Reclaaatioa Permit, Pursuant <br />Department of :{atural ~=sources to C.Y.S. 1473. 34-32-101 et <br />1313 Sherman Str:et, .'.ccn'S3 <br />Deaver, CO 8C203 <br />T°?3 OR PRL'7T CL?.~RLY <br />1. Name of operations <br />(Pit, nine, or site nano) KILL '/~~ - ATCN/~; ! <br />2. Name of applicant/operator <br />(Yams to be used oa per..it) , /// .'•~l _ j.77!1 ~~~Oi l ' <br />-- <br />3. Address end phone number of ~ "'~ /''•' ~%• ` ~ ~~~ ~ ~% ~" <br /> local offices •- -. <br />b. Address and phone nu>i'-er <br /> of general offices <br />5. Name sad phone n~ber of person f-,~.-~--•; j': • <br /> etaft membeza should contact ~ - ; -~ ~..; . <br />6. Parent Corporation, if any <br />(Iaclude name 3 address) - <br />7. Owner(s) of record of affected J•~' ~"~'•- <br /> land (surfsce area) ;. ;• --, ;'j, i:.. • ;• ' <br /> (If more than 2, Iiet in :xhibit P) <br />8. Owner(s) of aube:anee to be mined <br />• - - ,,- ~- - ., <br />,..: ;. <br /> (If moi <br />a than 2, list Lz E:ch_bit P) <br />9. Source of h;al ri~at to enter <br />(Indicate chat type os proo' is <br />included w Px'~ib1t 0 - leeet, deed, ;F,~ i ~•.a•,• ; , ~_~ <br />' <br />- - <br /> <br />10. notarized letter, et=.) <br />1~jpe of china a subst`nc= to 6a ~n:.asd <br />(Specifq uacerorouad, strip, open pit, <br />etc. sad subatsaca(-.) t~ ~a a'_ned) <br />, <br />~ - ~ ; - - <br />11. Geaersl lccat~en S :i.vat_on (?L'_'es S'- i ': ' <br /> b direct±oa ?ram nearest t~•an S <br />A <br />COXima=e 31:e u. ' <br />tiJa) <br /> . <br />pp <br /> <br />13. Acreage of s~f_cted la: 3a <br />(Total sur__°acs acreage to be <br />i!~~.. • <br /> included in peztait) <br />14. Applicst±on :ze (See Zule 2 to ~"f%'= l', ;'•:• :~ r-' / . ~~ , <br /> datermiee acwunt) <br />15. Present lsad use ~ <br />(1. e., agricultural, in,:ustrial, etc.) . , <br /> <br />-- <br />15. - <br />Surruu<sdin3 l.:nd uezs +- <br /> <br />17. Propoutd utUr3 land 113? f ~//~ ',i <br /> (Goal of raclaa•~tior) <br />18. Other mining pez~i:3 i operations <br /> in Colorado (Sea Zu1= 2 for guidance) <br />19. <br /> <br />_ The lands herein do .ot a?.°.ct any of <br />the landr. daacri~ed in Section <br />1,56(9), (Specify affix=ation) .V-S %{!~'/ !JO IJ!'~ •-•"',~ !i' <br /> <br />~,'- _'..°);?': ; ll.l ~F~%c• . !. "' ~~) <br />