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GULA^ (112) r^^=P,MIT APB! IC?TI ORr! III III'll'IIIIII'I <br /> � .. RECEIVEC 999 <br /> State Or Colorado Application for Mining any <br /> Department of Natural Resources Reclamation Permit , Pursuant <br /> MINED LAND RECLAMATION BOARD S EP - 6 1979 to CPS 1973, 34-32-101 et seq <br /> 1313 Sherman Street , Room 723 <br /> Denver, CO 80203 (303)839-3567 MINED LAND RECLAMATION <br /> Resources `— <br /> (Type or Print Clearly) <br /> 1 . Name of operations Albert FrPI _&_LPA&'_Jac. <br /> (Pit , mine or site name) <br /> — Sand and Gravel-Pit No. 3 <br /> 2 . Name of apolicant!coerator <br /> (Name to be used on permit) Albert Frei d Sons, Inc —__— — <br /> 3. Address and phone number of — <br /> local offices $400 Holly StreeL___- <br /> Henderson, Colorado 80640 <br /> 4. Address and phone number 8400 Holly Street <br /> of general offices Henderson, Colorado 80640 <br /> 289-3316 <br /> 5. `lame and phone number of person Albert R. Frei -- 289-3316 <br /> staff members should contact ---- ------- -- <br /> Donald E. Marturano -- 761-5910 <br /> 6. Parent Corporation , if any <br /> ( Include name b address) None . �— — — <br /> 7. 0%,ner(s) of record of affected <br /> lanu (surface area) William V. Bromley and Dona Mae Bromlp_y_..— <br /> ( If ;ryjre than 2 , list in EXHIBIT P) <br /> 3. cwner(s) of substance to be mined <br /> ( If more than 2 , list in EXHIBIT P) W111lam V. Bromley and _ na Mqe Bromley. <br /> 9. Source of legal right to enter <br /> ( Indicate what type of proof is Lea a from Bromley to S±cQn¢.Btsa.—Excavating, / <br /> included in EXHIBIT 0) -- NOTE: See Inc. assigned to Albert Frei 8 Sons, Inc. <br /> R'JLE 913 (3) , Rules 6 Regs ,p_t6. <br /> 10. Type of ;i1ne S substance to be mined <br /> (Specify underground , strip, open pit , Open pit mine: to be mined saq�LAal;L_Q[_QxQ-L <br /> etc. and substance(s) to be mined) . <br /> 7281 Colorado Blvd., Commerce City, Colo. 80022 <br /> 11 . General location b elevation (miles b yy=3_hlnelcs�lorth <br /> direction from nearest town s approxi of Commerce City; elevation 5, 100 feet. <br /> mate site elevation) <br /> 12. County --------- -.__.--- <br /> __ Adams <br /> 13. Acreage of affected lands (Total ---^ — ` — — -- <br /> surface acreage to be included in 14.2 acres <br /> perr.it (See RULE 1 for definition) . — — <br /> 14. Application fee (See RULE 2 to — �— <br /> determine amount) $275.00 <br /> 15. Present lard use ( i .e. , agricultural , Agricultural and residential-although zoned mineral <br /> industrial , etc.) conservation, extraction of sand d gravel permitted <br /> iG . St!r-ounding land usa5 Agricultural/residential (minimal )/sand d gravel <br /> extraction/governmental . <br /> ^- Proposed future use undetermined pending — <br /> 17. Proposed future land use (Final use possible fill . <br /> afCar reclamation) <br /> 18. ;rper,T,, 'ted T,ini;is p�..r>[ic•ne. Sr.' <br /> L. 2 , 11 ( IS) Voile __—__._.- <br />