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-OF.~O~O <br />. ;~ _ <br />. sri ° <br />.~- <br />'l87G s <br />Rlchartl D. Lemm <br />Governor <br />~ ~ , . r,~ <br />DEPARTMENT OF NAl'URAL RESOURCES <br />Dentl H. Getches, Eaecuhve Director ~ 1.^, 1,' _ 1~~I Q~[, <br />MfNED LAND f3~CLAMATfOIV DIy~~I,OM, 'l~'1 <br />DAVID C. SHELTO N, Dlractor ~. ~ L.. ~~ ,.r r~• ~~ <br />REGULAR (112) PERMIT <br />APPLICATION FORM <br />Application for Mining and Reclamation Permit, Pursuant to C.R.S. 1973, 34-32-101, <br />et s~ce as amended. <br />(Type of Print Clearly <br /> <br />1. Name of Operation <br />(pit, mine or site name) <br />Menzer Quarry #76-9 <br />2. Name of Applicant/Operator <br /> (name to be used on permit) ( Cooley Gravel Companv <br />3. Address and Phone Number of P. 0. Box 5485 TA <br /> <br />. <br />Local Office _ <br />I Denver, CO 80217 (303) 697-1401 <br />4. Address and Phone Number of <br /> General Office I Same as Above <br />5. Name and Phone Number of Person Kathleen K. Moss - Resource Planner <br /> Staff Members Should Contact I (3031 697-1401 <br />6. Parent Corporation, If Any J. L. Shiel Co. Inc. <br /> (include name and address) I <br />~ 0 Snelling Avenue North <br />St. Paul MN 55108 <br />7. Owner(s) of Record of Affected George Menzer <br /> Land (surface area) <br /> (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be Cooley Gravel Company <br /> Mined (if more than two, list <br /> in EXHIBIT P) <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (301 866-3567 <br />