PERMFILE57523

• Permit No: M1983208
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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';~ ~ G' ;; fJl(NED LAI~1D RECL~;~~1i/~, i tON DIVISION -~~'~_
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~K~~~~*~ DAVID C. SHEL70N Director ~ ~_~ ;
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=__3J5_.rrran ? tre.t, Room S23 Cali? .- . • . '• ,. C_f i.'r.PG:' Dltll~,a('s'~I ar..ended
%~_- er,-Col cra do °0203 [phone] 1:~: ~. l _~~.. LI r:o~Lill r.wJ~~CQS ~~_ ^~~
(Type or Print clearly)
1 Name of Operation i _ ShdVdnO Plt
- (pit, mine or site name)
2- !tame of npoiicant/Gperator I MOntrOSe COUnt~
(na1-e to be used on permit)
3- Andress and ?hone number of I Montrose County Commissioners -Box 1289
Local Office Montrose, CO 81402 - 249-7755
4- Address and Phone Number of 1 $dme
General Office I
5. Name and Phone Nunber of Person Patti
Staff Members Should Contact 249-6688
6. Parent Corporation, If Any
(include name and address)
7. D:aner(s) of Record of Affected
Land (surface area)
(if more than two
list i
,
n
EX1fIBIT P)
8. P.+ner(s) of Substance to be Same
Mined (if more than two, Zist
in EXHIBIT 2)
9. Source of Legal Right to Enter Deed
(indicate what type of proof is
included in EXHIBIT O) See
39-32-112(2)(d)
'.0. Type of !dine and Substance to Open Pit
be Mined (specify underground,
open Di t
quarry
etc
and Sand & Gravel
,
,
.
substance(s) to be mined)
a23 Centennial Building, 1373 Sherman Street Denver, Colorado 80203 Tel. [phone]