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r~i~ Kt6ULAK (112) PEn717 ~.??_IC.',iiC'I iv=.M <br />State of Colorado • <br />Department of Natural Resources <br />H-INED LAND RECLAMATION BOARD <br />. 1313 Sherman Street, Room 723 <br />Denver, CO 80203 (303)839-3567 <br />.lqN 311963 <br />'II'I"II'I"II' II' <br />sss <br />App Ication for nii~„~y and <br />Reclamation Permit, Pursuant <br />to CRS 1973, 34-32-101 et seQ <br />- ~ MINED LAND DECLAMATION ~ ~ 3 - 1.3 c K vo 4 z o ' <br />coLO. oEVi. of NAT <br />(Type or Print Clearly) <br />r~ <br />1. Name of operations Latham - Burkett <br /> (Pit, mine or site name) <br />2. Name of applicant/operator <br />{N <br />b Corn Construction Company <br /> ary to <br />e used on permit) <br />3. Address and phone number of <br />l <br />l <br />ffi P.O. Box 124D <br /> oca <br />o <br />ces - <br />Grand Junction, Colorado 81502 (303)434-7301 <br />4. Address and phone number <br />of general offices - p,0. Box 1240 <br /> Grand Junction-, Colorado 81502 (303)434-7301 <br />S. Name and phone number of person Albert RUCkmdn <br /> staff members should contact <br />434-7301 <br />6. Parent Corporation, if any <br />(Include name <br />E address) <br />------- <br /> . <br />7. Owner(s) of record of affected <br />land (surface area) Robert Latham ' <br />John Latham <br /> (If rtnre than 2, list in EXHIBIT'P) <br />Kenneth and Wanda Burkett <br />8. Owner(s) of substance to be mined <br />(If <br />) Same a5 Land Owners <br /> more than 2, list in £XH1B1T P <br />. <br />9.. Source of legal right to enter <br />(Indicate what type of proof is Lease Agreements <br />..,` included.in EXHIBIT 0) -- NOTE: See <br />RULE 9',1.(3) , Rules b- Regs , .. p.~+6. ' <br />10. Type, of mine b.substance,to be:mined <br /> <br />(SPeci'fy underground <br />strip; open pit <br />Gravel Pit <br /> , <br />, <br />etc, and substance(s) to be mined). <br />-~ <br />11. <br />General location s elevation (miles b <br />} Mile South of Debe ue <br />- direction from nearest town s approxi <br />mate-site elevation) <br />5,000 Feet Elevation <br />12: County Mesa <br />13. <br />'". Acreage of affected lands {Total <br />surface acreage to be included in 69 Acres <br /> permit (See_RULE i for definition). - <br />14. <br />,~ Application fee (Sea RULE 2 to <br />de[ermine amount) . $990.00 <br />15, <br />_ Present land use (i.e., agricultural, <br />industrial, etc.) <br />Agriculture <br />16. Surrounding'land-uses Agriculture <br />17. Proposed future land use (Final use Agriculture - <br /> after, reclamation) <br />18. Unperni.itted mining operations (See <br />RULE 2 <br />11(18) None - <br /> . <br />. _... <br />