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7 <br />-- ..~ - <br />.-~~ - - <br />~ST:i.E OF COLOR~;,O Application for !dining and <br />ELtned Land 8aclarl.3tioa 3ca:d ~ ~~~J~~ ®Reclaaation Permit, Puz;.uant <br />Department of :iatural ?sources to C.R.S. 1973_. 34-32-101 et se+ <br />1313 Sheroan St.=-et, :tecW '.3 <br />Deaver, C~ 80:03 <br />NQV - 41977 <br />'"^?3 CRnAR:F~l'~ CLei3i.Y, . <br />~ ~ SZ~_ <br />v <br /> <br />1. p-r r_, Colo. Ue <br />Name of o a_a_'~i:s t. of A~aturahf?esp~rces - , •~•. <br />/1 ~ .,~.. <br /> (Pit, minx, cr sit= name) <br />i ' <br />2. Name of applicant/operator ?' f, .' '" ' <br /> (:lame to be used on Hera-*t) <br />3. Address and phcne n~bez of l1~1! I'' ,'T''.. '.' <br /> local offices , .-, - , <br />4. Address and phone nucrber ~ ~ f%"'; ~'~~ _ " ~ •r - <br /> of general offices ~i,-'/r,:~,. ~ .. '~ <br />5. Name sad phone number of perscn ~,4"~ 7;•: -ci~~ _ - - ~ > <br /> staff members should contact <br />6. Parent Cozporat'_cn, if any '-• ~ <br /> (Include nave S addrea3) <br />7. C4aner(a) of r?coz9 of affected ~ ~~ <br /> land (surface area) <br /> (If more than 2, iis_ in :.~hibit P) <br /> <br />8. i <br />Owner(s) of substance *_o be mined ' <br />P <br />~. -- .. .. <br /> ) <br />(If more trap 2, list i~ .°:ch=bit <br />9. Source of la?sl rira to enter ~ SEA {y,''f,~/1;/ % ,r~.-. ' <br /> (Indicate :chat t;~?e cc proof is <br />Included in Crhiait 0 -lease, deed, <br />notarized lett_r, er=.) <br />10. 1~jpe of nine ;. sa~st~ncs ~~ be lined ~ ~i ~-,°~- <br />~ "- <br /> (Snecify u,-_der;:cuad, ecr~.p, open pit, <br />t3rc~(z) t~ ~e aired) <br />etc <br />a <br />d <br />ub <br /> . <br />n <br />a <br />s <br />11. Gene: al lccaticn a eia~z__on (`": les <br /> ~ directan 'ra3 reazest town 6 <br />a <br />rosirata site a' <br />a':acivn) <br /> pp <br />_ <br />1~. County ~ <br />13. Acrea3e of s"seed lsnd3 <br />(7ota1 ~ur_°ace ac:ea3e to be <br />/' <br /> included is permit) <br /> <br />14. <br />Application :ee (Sae 3ule 2 Co i. <br />_<EE Ckv"._ F. ~ f~?%:. _ w <br /> dateaair_e smounc) <br />15. ?rasaat land uoe I <br />' <br />l <br />) <br />i <br />l <br />l <br />i <br />i ,f/G•,";/',,L.i~(:f,! <br /> n <br />ustr <br />a <br />, etc. <br />+ <br />(i.s., agr <br />cu <br />tura <br />, <br />16. Sur'ouadin3 l.:nd csas ~i~~. <br /> <br />17. Proposed future land use ;~UBU"' FAR;'~;~ <br /> (Goal of -ecia:~tic-; <br />18. Other minia3 pa^..i_3 i oneratiora <br />in Colorado (Sae Zula ? for auidaac=) <br />19. Tk•.e lands i:erain co ac. a.c_c= any cf <br />the isnds daacri:;ed is Secticn _\,',~'~ f -r <br />1.5..;9). (Snec'fy if"_-=scion) - -' ~ <br />