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7/78 REGU (112) PERMIT APPLICATION FORM III III III IIIIIIIIII <br />State of Colorado ~~lv°G~~9~® <br />Department of Natural Resources <br />MINED LAND RECLAMATION 60ARD <br />'•313 Sherman Street, Room 723 S1 1983 <br />Denver, CO 80203 (303)839-3567 <br />worn, nun u~nnu nl <br />haNi. of ~ Resources <br />ape or Print Clearly) <br />sss <br />Application for Mining and <br />Reclamation Permit, Pursuan*_ <br />to CRS 1973, 31-32-101 et seq <br />-/ <br />1. Name of operations SPEER DEVELOPMENT <br /> (Pit, mine or site name) <br />2. Name of applicant/operator <br />(N <br />b <br />d <br />i <br />) GEORGE SPEER <br /> ame to <br />e use <br />on perm <br />t <br />3. Address and phone number of <br />l <br />ffi <br />s <br />l 12021 BRIGHTON ROAD <br /> oca <br />o <br />ce HENDERSON', COLORADO 80640 PHONE: 659- <br />4. Address and phone number <br />of general offices <br />SAME AS ABOVE <br /> <br />5. Name and phone number of person <br />h JACK HAINES (JOHN HAINES LAND CONSULT <br /> staff members s <br />ould contact <br />ING) 428-3258 <br />o. Parent Corporation, if any <br />(Include name & address) NONE <br /> <br />7. Owner(s) of record of affected <br />land (surface area) JACK AND ROSE SPEER <br /> (If more than 2, list in EXHIBIT P) <br />8. Owner(s) of substance to be mined <br />2 <br />li <br />t in EXHIBIT P) <br />(If <br />th JACK AND ROSE SPEER <br /> , <br />more <br />an <br />s <br />9. Source of legal right to enter <br />(Indicate what type of proof is APPLICANT IS OWNER, VERIFICATION IS <br /> included in EXHIBIT 0) -- NOTE: See <br />RULE 9.1(3), Rules E Regs,.p. 46. CERTIFICATE OF TAXES. <br />10. Type of mine E substance to be mined <br />(Specify underground, strip, open pit, OPEN WET PIT OPERATION. <br /> etc. and substance(s) to be mined). GRAVEL <br />11. General location b elevation (miles E 5 MILES SW OF BRIGHTON, COLO. <br /> direction frcm nearest town & approxi <br />mate site elevation) <br />APPROX. SITE ELEV. - 5,016. <br />12. County ADAMS COUNTY <br />13. Acreage of affected lands (Total <br />surface acreage to be included in 30 ACRES. <br /> permit (See RULE 1 for de,finition). <br />14. Application fae (See RULE 2 to <br />determine amount) <br />$500.00 <br />l~. Present land use (i.e., agricultural, <br />industrial, etc.} <br />AGRICULTURAL, LANDING STRIP. <br />1 <br />16. Surroundin+ land uses <br />S ~ <br />AGRICULTURAL, GRAVEL MINING, SOME <br />COMMERCIAL/INDUSTRIAL. <br />_ <br />17. Proposed future land use (Final use ~ PRIVATE RECREATION/LAKE AREA & WILD- <br /> after reclamation) LIFE REFUGE. <br />18. Unpermitted mir.ir.g operations (See <br />RULE 2 <br />11(10') <br /> . <br />2480 <br />L~~~~f~.'~°~,."""'"~-~,s, (over) <br />