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...":~ !~12` PE:i.`!IT SPpT?G1T'.ar? .n~ <br />sss --- <br />STATE OF COLORADO Apalication for Miaia <br />Mined Land Reclaaatioa 3eard Reclama~~e~t~ ~yu~t <br />Penartmant of ?iatural 2esources to C.R. 3°2-3"pl et ae <br />.~13 Sheraaa Str.et, Zoca .'.3 <br />neaver, co ec2o3 ~ 7- ~ ~ NOV - 41977 <br />T°?3 OR PRL`7T CLP..:3.Y _-.---- . ---- _-- ---.-._-- <br />1. Name of operatiore ,./LL- PCB ' ATC/~/~~u~ Dept. of fdatural f?esocices <br /> (Pit, miss, or sirs nee) "' <br />2. Name of applicant/operator <br />(Name to 6e used oa oerait) K~~l:~n~ _/'7('r!~~2i1 • <br />~~ , , ~,- ,~,, „ ., <br />3. Address sad phcna nuaber of '/~, ~?~•,/ ~rr~~~.( :/ ~, <br /> local offices - • • ~ - <br />4. Address and phone aunber <br /> of general offices <br />5. Name sad phona ntaabet of person <br />ataf! mambera should contact - - ; - . ~ ~: <br />,-- <br />6. Pasant Corpozaticn, if say <br /> (Include aa~s S a2dress) <br />7. Cwner{a~ ac record of affected '' <br /> land (aurfac~ area} - <br />,• ~ -/-~ ~ " <br /> {Zf more than 2, lint is '::hibit P) -" -'- <br />8. Owner(s) of subs*_anca to be aiaed <br />F <br />' <br />2 <br />L- <br />i <br />P <br />Zf <br />h -~• ~.:,~-,~~; - <br />- • <br /> o <br />more t <br />, liar <br />: <br />.;;h_ <br />) I <br />( <br />an <br />t - <br />9. Source _. 1~~s1 riq:a to enter <br />` _- -;;~. -~ <br />'-' <br /> (Indicate chat tyke ni proo_ <br />is <br />iaclcded is E:chi~it 0 - lzase, deed, ' <br />~~` <br /> notarized lettsr, st=.) <br />10. Type of mina s 9L'bJt: nC~ to ba mined ~- );' •; , <br /> (Sotcify uader3round, strip, open pit, <br />and aubst3aca{~) t~ ie u' <br />sec <br />ned) <br /> . <br />_ <br />11. General 1. esticn 5 al_vat~on (Y'.les ~ "- /~" <br />' <br /> b direction 'rom n^are4* t:.wn h <br />anpeo:cirat3 site als•~3tian; <br />12. County _ ~ ( „~.;~,. <br /> <br />-- (Total aurF;cs acreage to bs i//,'.. <br />~ <br />included in pszmit) <br />_ <br />14. A?plicst'_nn :za (Sas 2u1a 2 to ' <br />±~f;'_ ~;~ "r"': ,~-'~ /~ ;r;: , • ... <br />datermica aaounti <br />15. Pr esaat land use <br /> <br />' <br />t <br />i <br />l <br />l <br />i <br />d <br />l <br />) <br />i <br />f. ,:.,.~, ,. <br />•- . <br />ustr <br />_a <br />, e <br />. e., egr <br />cu <br />:vra <br />, <br />n <br />c. <br />( <br />16. Sur_ound~., land u:;zs ~ <br /> <br />17. Proposed aL'tUr3 13ad 7130 / 7//, <br />(Coal of r~cla:catioa) <br />18. Otha; mining per^ita 's ooerationa <br />.: Colorado (Sea Zuls 2 for guidance) <br />19. Tha lands Fern.n °.o :ot a_': pct any of ",~~ , .,.. n, ~ . ~ , , . _ . <br />the leads da~cri~ed in Section <br />y 1.56(9) (Soeciiy 3£fi:...ation) <br />--,•;~'` /,;j - (.~) <br />