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DEPARTMENT OF NATURAL RESOURCES <br />D. Monte Pascoe. Eaecunve Director <br />MINED LAND RECLAMATION DI <br />DAVID C. SHELTON Director <br />R~cnartl D. Lamm <br />Governor <br />REGULAR (1Z 2) PERMIT APPLICATION <br />FORM <br />~'_ai?SIOi: C^ ~GL"iLaftY OF Pr',°S,IIT =~0-°,0 <br />State of Colorado Application for Mining and <br />Department of Na turaZ Resources Reclamation Permit, Pursuant to <br />:MINED LAND RECLAMATION BOARD AND DIVISION 34-32-I01 et sue., C.R.S. 1973, <br />2313 Sherman Street, Room 423 as amended <br />Denver, Colorado 80203 (303) 866-3567 <br />(Type or Print Clearly) <br />Z eration I <br />Name of O 1"`~+ PIT <br />. p <br />(pit, mine or site name) r <br />2. Name of Applicant/Operator Slarren Gardner c~oG~:I Eli='3.a, "hJ. et. al <br /> (name to be used on permit) <br />3. address and Phone Number of °. C. .ox 213 Grarfi Junction, Colo: ado 31502 <br /> Local office 21+2-3511 <br /> Address and Phone Number of P. 0. Eox 2163 Grand Junction, Colorado °1502 <br /> General office 242-351j <br />5. Name and Phone Number of Person :iarren Gardner 2L2- S1" <br /> Staff Members Should Contact <br />6. Parent Corporation, If Any <br /> (include name and address) <br />7, Owner(s) of Record of~Affected See Exhibit P <br /> Land (surface area) <br />(if <br />th <br />li <br />i <br /> more <br />an two, <br />st <br />n <br />EXHIBIT P) <br />8. Owner(s) of Substance to be See r~chibit P <br /> .Mined (if more than two, list <br />in EXFIIBIT 2) <br />9. Source of Legal Right to Enter P?ort a e Iced <br /> (indicate what type of proof is <br />included in EXHIBIT O) See <br />Garners of <br />property <br /> 34-32-112(2)(d) <br />.0. Type of .Mine and Substance to Open Pit <br /> be Mined (specify underground, <br />open pit <br />ouarry <br />etc <br />and <br /> , <br />, <br />. <br />substance(s) to be mined) <br />423 Centennial Building, 7313 Sherman Street Denver, Colorado 80203 Tel. (303) 866-3567 <br />