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7/78 REGULAR (112) PERMIT APPLICATION FORM <br />State of Colorado Application for Mining and <br />Department of Natural Resources Reclamation Permit, Pursuant <br />MINED LAND RECLAMATION BOARD to CRS 1973, 34-32-101 et seq <br />1313 Sherman Street, Room 723 <br />Denver, CO 80203 (303)839-3567 ~/ U1 .`(~~ ~ <br />(Type or Print Clearly) <br /> <br /> <br />1. Name of operations Hertzo Pit <br /> (Pit, mine or site name) <br />2. Name of applicant/operator <br />(N <br />b <br />d <br />i <br />) Craig Contracting Corporation <br /> on perm <br />ame to <br />e use <br />t <br />3. Address and phone number of <br />l <br />l <br />ffi P.O. Box 328, Craig, Colorado 81626 <br /> ces <br />oca <br />o <br />Phone: 824-4102 <br />4. Address and phone number <br />of general offices Same as No. 3 <br /> <br />5. Name and phone number of person <br />b <br />h <br />l Lloyd V. "Buck" Barnhart <br /> ers s <br />d contact <br />staff mem <br />ou <br />Phone• 543-1324 <br />• <br />o. Parent Corporation, if any <br />(Include name & address) Mountain Mobile Mix, Drawer 368 <br /> Glenwood Springs, Colorado 81601 <br />7. Owner(s) of record of affected <br />land (surface area) <br />Paul G. Hertzog <br /> (If more than 2, list in 'cXHIBIT P) <br />Rosemary Hertzog <br />8. Owner(s) of substance to be mined <br />list in EXHIBIT P) <br />(If m <br />th <br />n 2 Same as No. 7 <br /> ore <br />a <br />, <br />9. Source of legal right to enter <br />(Indicate what type of proof is <br />u " " <br /> included in EXHIBIT 0) -- NOTE: See <br />RULE 9'.1(3), Rules 5 Regs,~6. <br />10. Type of mine & substance to be mined <br />(Specify underground, strip, open pit, <br />0 en it sand and ravel <br /> etc. and substance(s) to be mined). <br />11. General location b elevation (miles b A roxioatel 3 miles east of l~lavbell <br /> direction from nearest town E approxi <br />mate site elevation) <br />t elevation 6,000 feet <br />12. County <br />offat <br />13. Acreage of affected lands (Total <br />surface acreage to be included in <br />85 scree <br /> permit (See RULE 1 for definition). <br />14. Application fee (See RULE 2 to <br />determine amount) <br />$1,150.00 <br />15. Present land use (i.e., agricultural, <br />industrial, etc.) <br />Agricultural <br />16. Surrounding land uses Agricultural <br />17. Proposed future land use (Final use Agricultural <br /> after reclamation) <br />18. Unpermitted mining operations (See <br />PULE 2 <br />11(18) ~ None <br /> . <br />(over} <br />