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Ricnaro D. Lamm <br />Governor <br />• <br />DEPARTMENT OF NATURAL RESOURCES <br />D. Monte Pascoe. Executive Director <br />MINED LAND RECLAMATION DI <br />DAVID C. SMELTON Director <br />REGDIAR (112) PERMIT APPLICATION <br />/~!K - J <br />FORM <br />State of Colorado RECEIVED Application for Mining and <br />Department of Natural Resources F E B 2 41984 Reclamation Permit, Pursuant to <br />MINED LAND RECLAMATION BOARD AND DIVISION 34-32-I01 et ~., C.R.S. 1973, <br />1313 Sherman Street, Room 423 as amended <br />Denver, Colorado &0203 (303) 866-3~{NED LAND RECLAMATION DIVISION II'' <br />e01o-~epk of Ma'eral Raen rrrnc ~'l - $ `~' O`~ l <br />(Type or Print Clearly) <br />I I <br />Name of O <br />ati San Isabel Gravel Pit <br />. per <br />on <br />(pit, mine or site name) <br />2. Name of Applicant/Operator Sa uache Count Road De artment <br /> (name to be used on permit) <br />3. Address and Phore Number of p.0. Box 426 Sa uache CO 811 9 <br /> Local Office 655-2554 <br />4. Address and Phone Number of Sams as above <br /> General Office <br />5. Name and Phone Number of Person Brian Peters, Land Use Administrator <br /> Staff Members Should Contact p,0. Box 176; Saguache, CO 81149; 655-2321 <br />6. Parent Corporation, Zf Any None <br /> (include name and address) <br />7. Owner(s) of Record of Affected Sa uache Count <br /> Land (surface area) <br />t} <br />t i <br />(if <br />Zi <br /> more <br />~an two, <br />s <br />n <br />EXHIBIT P) , <br />8. Owner(s) of Substance to be Sa uac u <br /> Mined (if more than two, Zist <br />in EXHIBIT ?) <br />9. Source of Legal Right to Enter Deed (See Exhibit O <br /> (indicate what type of proof is <br />included i <br />EMiIBZT O) Se <br /> n <br />e <br />34-32-112(2)(d) <br />0. Type of Mine and Substance to O en Pit, sand and ravel <br /> be Mined (specify underground, <br />o <br />en <br />it <br />uarr <br />etc <br />and <br /> p <br />p <br />y, <br />. <br />, q <br />substance(s) to be mined) <br />a23 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />