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RlchaM D. Lamm <br />Governor <br /> <br /> <br />DEPARTMENT OF NATURAL RESOURCES <br />David H. Gatchea ExeeutWe Direelor <br />MINED LAND RECLAMATION DID <br />DAVID C. SHELTON, Dlrsctor <br />REGULAR (112) PERMIT <br />JUI_ ~ 1~8~ APPLICATION FORM <br />Application for~Mfining and Reclarti5tion Permit, Pursuant to C.R.S. 1973, 34-32-101, <br />et seq, as amended. nn_ ~ ~ < ~ Z ~ ~' ~ <~ ~ sj <br />~Y~ (Type ofJPrint Clearly)) <br />1. Name of Operation <br />(pit. mine or site name) <br />2. Name of Applicant/Operator <br />(name to be used on permit) IvnLCO/rileblo Concrete nivision <br />3. Address and Phone Number of ~P.o. nox II57 <br />Local Office <br />Pueblo, Colo 81002 (303)561-8350 <br />Pueblo iJest Pit (Nnendment) l~i1c. ti-•77-573 <br />4. Address and Phone Number of yALCO, inc. r,o. sox 550 <br />General Office (Rocky Ford, Colo 31067 (303)254-7464 <br />5. Name and Phone Number of Person <br /> Staff Members Should Contact <br />6. Parent Corporation, If Any <br /> (include name and address) <br />1. Owner(s) of Record of Affected <br /> Land (surface area) <br />• (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be <br /> Mined (tf more than two, list <br /> in EXHIBIT P) <br />(same as ~F4 above) <br />VALCO, Inc. <br />423 Centennial Building, 1313 Sherman Street <br />Denver, Colorado 80203 Tel. (303) 866-3567 <br />