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~~ <br />of ~~~ <br />N~;:'9Q~ DEPARTMENT OF NATURAL RESOURCES <br />*«/~1,~ ~ ,'~* Wv~a H. GstChsa ExsCUtNS Dlnetor <br />' *,~~e,s' MINED LAND RECLAMATION DIVISION <br />DAVID C. SNELTON, Dlnetor <br />fiiohan] D. Lamm <br />' Gove~~~~~~~~ <br />REGULAR (112) PERMIT <br /> <br /> <br />1 <br /> <br /> <br />t <br />1 <br /> <br />1 <br />1 <br /> <br /> <br />1 <br />1 <br /> <br />III IIIIIIIIIIIIIIII <br />999 <br />~CY ~ V ~ APPLICATION FORM <br />MINEQLAND~~gg QQ <br />Appli~dtTtlffYOAT~~l~l0ianalReclamation Permit, Pursuant to C.R.S. 1973, 34-32-101, <br />et seg, as amended. ~ <br />M- ~5-18`l P~ aa(<_? ~'~Is.od ~~o~ . va/~ <br />(Type of Print Clearly) <br /> Pit 112 <br />1. Name of Operation <br />(pit, mine or site name) <br />2. Name of Applicant/Operator Charles R. Nauta <br /> (name to be used on permit) <br />3. Address and Phone Number of 832 wood Street. <br /> LOCaI Office Fort. Collins, Colorado 80521 482-9537 <br />4. Address and Phone Number of 832 Wood Street <br /> General Office Fort. Collins, Colorado 80521 482-9537 <br />5. Name and Phone Number of Person Heidi Hirsh, Tuttle, Aooleaate. Rindahl Inc. <br /> Staff Members Should Contact 696-6846 <br />6. Parent Corporation, If Any <br /> (include name and address) ~ <br />7. Owner(s) of Record of Affected Charles R. and Connie toii•Nanta <br /> Land (surface area) <br /> (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be rha t G R. and onn; Inii Narita <br /> Mined (if more than two, list <br /> in EXHIBIT P) <br />.... .-__.___._. o..;..+:_.. ,o,o etie....,.. c,.aar Denver. Colorado 80203 Tel. (300866.3567 <br />