...":~ !~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
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<br />2
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<br />P
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<br />more t
<br />, liar
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<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
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<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 - (.~)
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