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~ REGULAR (112) PERMIT APPLICATION FORM <br />STATE OF COLORADO _ _ Application For Mining and <br />Mined Land Reclamation Board - ', ~%'. _~ Reclamation Permit, Pursuant <br />Department of Natural Resources !' -- "' to L.R.S. 1973, 34-32-101 et seq. <br />1313 Sherman Street, Room 723 <br />~ Denver, CO $0203 ,._ '~Gjq <br /> <br /> <br />• <br />• <br /> <br /> <br /> <br /> <br />• <br /> <br /> <br /> J:_i - <br />rTY•PE; OR. PRINT C~E'ARLY.,•,. <br />1 . Name of operations ~OiO' J~ ii. `~ ~ Berry Pit <br /> (Pit, mine, or site name) <br />2. Name of applicant/operator Schmidt-Tiago Construction Co. <br /> (Name to be used on permit) <br />3. Address and phone number of P.O. Box 728 - Crai Colorado <br /> local offices Phone: 824-9429 <br />4. Address and phone number 8950 W. 49th Ave. Arvada, Colorado <br /> of general offices <br />Phone: 424-4451 <br />S. Name and phone number of person Matrix En ineers Inc. - Bill Wilson <br /> staff members should contact <br />Phone: 452-5516 <br />6. Parent Gorpora[ion, if any N.A. <br /> (Include name b address) , <br />7. Owner(s) of record of affected <br /> land (surface area) White River Co oration <br /> (if more than 2, list in Exhibit P) <br />8. Owner(s) of substance to be mined White River Cor oration <br /> (If more than 2, list in Exhibit P) <br />9. Source of legal right to enter <br /> (Indicate what type of proof is <br />i <br />l <br />d <br />d i <br />E <br />hibi <br />0 - l <br />d <br />d Lease A reement <br /> nc <br />u <br />n <br />x <br />e <br />ease, <br />ee <br />, <br />t <br />notarized letter, etc.) <br />10. Type of mine & substance to be mined <br /> (Specify underground, strip, open pit, <br />d <br />b <br />t <br />t <br />( <br />) <br />b <br />i <br />d) en Pit - Gravel <br /> c. an <br />su <br />ance <br />e m <br />e <br />s <br />s <br />ne <br />to <br />11. General location b elevation (Miles A roximatel 1 mile East of Meeker between <br /> 6 direction from nearest town 6 <br />i <br />i <br />l <br />) <br />i <br />Hi hwa q13 and Meeker Air ort at Elevation 6370, <br /> mate s <br />approx <br />te e <br />evat <br />on U.S.G.S. Datum. <br />12. County Rio Blanco, Colorado <br />13. Acreage of affected lands <br /> <br />f <br />l <br />(T <br />b <br />42.746 Acres <br /> sur <br />ota <br />ace acreage to <br />e <br />included in permit) <br />14. Application fee (See Rule 2 to 695.00 <br /> determine amount) <br />15• Present land use 0 en Pit Minin -East 5 Acres <br /> (i.e., agricultural, industrial, etc.) A ricultural - Remainder <br />16. Surrounding land uses Agricultural and Range Land <br />17. Proposed future land use A ricultural <br /> (Goal of reclamation) <br />18. Other mining permits b operations See additional information <br /> in Colorado (See Rule 2 for guidance) <br />19• The lands herein do not affect any o. The minin o eration is not located on lands <br /> the lands described in Section <br />(S <br />f <br />ff <br />i <br />6 <br />) <br />affected b Section 1.56(9) <br /> peci <br />y a <br />irmat <br />on <br />(9), <br />1.5 <br /> <br />