PERMFILE66573

• Permit No: M1985112
• IBM Index Class Name: Permit File
• Doc Date: 6/18/1985
• Doc Name: REGULAR 112 PERMIT - APPLICATION FORM
• Media Type: D
• Archive: No

.~ r
Richartl D. Lamm
Governor
REGULAR (112) PERMIT U D ~~~~ lI ii
APPLICATION FORM
JUN 1 g 1985
Application for Mining and Reclamation Permit, PursuantR~LCA~~
et seg, as amended.
171- 8'r-1 /~-
(Type of Print Clearly)
Ed Loloff Cons t., Inc.
1. Name of Operation
(pit, mine or site name)
2. Name of Applirant/Operator IEd Loloff Const., Inc.
(name to be used on permit)-
3. Address and Phone Number of 1145 Third Street
Local Office Kersey, Colorado 80644 (3036 353-1621
4. Address and Phone Number of same as 3 ~
General Office
5. Name and Phone Number of Person Edward Loloff ~
Staff tdembers Should Contact [phone]
6. Parent Corporation, If Any n/a ~
(include name and address) ~
7. Owner(s) of Record of Affected same as 2
Land (surface area)
(if more than two, list in ~ I
EXHIBIT P)

8.
Owner(s) of Substance to be
same i
as 2
Mined (if more than two, list
in EXHIBIT P)
~, 423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. ('0'~) 866-3567
DEPARTMENT OF NATURAL RESOURCES
Davitl H. Getch06. Esecutlve Director
MINED LAND RECLAMATION DIVISION
DAVID C. SHELTO N, Director
I
~~~~~~~~~~~~~~~~~~~ RECE}~~MAR 1~ 1 t985
32-101,
ON
' ~~ ~Sr~ 0 . c-c~
Sand and Gravel