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<br />Richartl D. Lamm <br />Governor <br />~,~ _~ <br />REGULAR (112) PERMIT ~`'~ <br />APPLICATION FORM F~:!37, n X986 <br />.. <br />Application for Mining and Reclamation Permit, Pursuant tb C:•ff~S`.~~19.7,3;,.~34,32`=101, <br />et seg, as amended. <br />A1_4n~~r7 nK ~[„~9 ~~~nnn Q~r•n5 <br />(Type of Print Clearly) <br />4 <br /> <br />1. Name of Operation <br />(pit, mine or site name) E~kFil-~=`~' 'a~ D ,. i,f~~,i.!EI-. :, r:~t r.r.~. ;. <br />2. Name of Applicant/Operator <br /> (name to be used on permit) I ~,l'RI-~" ~> ~ali,. ' '~~~'~~~'=~~-• iu-:° <br />3. Address and Phone Number of I>± 1= 6r-.. ~;; <br /> Local Office Lit:;::~i. •_,,, i_.o ,:.p,~~_,;~r.~;,;:.,a.-•;~LGq. <br />4. Address and Phone Number of i3 a.n~:- ~~.:= I•~~-. :• ~~r-~;~~~~. <br /> General Office <br />~ <br />5. Name and Phone Number of Person I<• ~:rn1:~ _lmor~ i-ci.arr~. ~ror l:'•rnla•~ o"or~d <br /> Staff Members Should Contact L, r;-,;.±,,,;. ~_,; :~,r~,~~_~_, <br />6. Parent Corporation, If Any i~,.,-,:; <br /> (include name and address) ~ <br />7. Owner(s) of Record of Affected ~tur~e:: L~ • E:'•r~~.i:_:~ <br /> Land (surface area) I G":. 1. Ei~~. 'i% <br /> (if more than two, list in I '~-; k±I.+': r~r~. Cr-- ; ~:.:~: <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be ~ .m~ o.::. I!c,,, '.' o.r.~o.~ <br />Mined (if more than two, list <br />in EXHIBIT P) <br />~ III IIIIIIIIIIIIIIII ~ <br />DEPARTMENT OF NATURA! RESOURCES <br />Davin H. Getchea, Executive Dlractor <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SHELTON, Director <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (30'x) 866-3567 <br />