PERMFILE69367

• Permit No: M1980224
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 PERMIT APPICATION FORM
• Media Type: D
• Archive: No

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R~[nartl D Lamm
Governor
DEPARTMENT OF NATURAL RESOURCES ss9
D Monle Pascoe. Ereculrve Oiretlor
MdINEDL oANC y ~• ~;. ~'fON D
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REGUL4R (l I2) PERMIT APPLICATION ~ ~'- ~~~~
FORM MINED LAND RECLAMATION
Colo. Dept. of Natural Reso~~rce~
State of Colorado ~ Application for Mining and
Department of Natural Resources p1 ~ Reclamation Permit, Pursuant to
MINED LAND RECLAMATTON BOARD AND DIVISION '~ p 34-32-101 et ~., C.R.S. 1973,
1313 Sherman Street, Room 423 '~ 5' as amended.
Denver, Colorado 80203 (303) d66-3567 ~ ~'~~
(Type or Print Clearly)
I
f
i Fremont Paving and Redi-Mix, Inc.
1. Name o
Operat
on
(pit, mine or site name)
?. Name of Applicant/Gperator Fremont Paving and Redi-Mix, Inc.
(name to be used on permit)
3. Address and Phone Number of P. 0. BOX 841 Canon City, Co 81212
Local office 303- 75-3 64
4. Address and Phone Number of S ame
General Office
5. Name and Phone Number of Person DOn Lee '
staff Members Should Contact 30 - 7 - 64
6. Parent Corporation, If Any Fremont Paving and Redi-tiix, Inc.
(include name and address) p0. Box 841 Canon City, Co 81212
7. Owner(s) of Record of Affected Arylee, Inc.
Land (surface area)
i John and Phyllis Ary
(if more than two, list
n
EXHIBIT P)
e. owner(s) of substance to be Arylee, Inc.
Mined (if more than two, list
in E>a~rarT P)
John and
Phyllis Ary
9. Source of Legal Right to Enter Warrant Deeds
(indicate what type of preof is
EXHIBIT 0) S
d
i
l
d i
ee
nc
u
e
n
34-32-112(2)(d)
0. Type of Mine and Substance to Open Pit Sarid and Gravel
be Mined (specify underground,
a
i
t
d
t, quarry, e
c.
n
open p
substance(s) to be mined)

423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. [phone]

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