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w R-CLU-0112) PERMIT APPLICATIOtI FORM • } <br /> STATE 0? C^LORAX Application for Mining and <br /> Mined Land :reclamation Board Reclamation Permit, Pursuant <br /> Department of Natural Resources to C.A.S. 1973, 34-32-101 et sag <br /> • 1313 Sherman Street, Room 723 <br /> Denver, CO 80203 <br /> TYPE OR PRINT CLEARLY <br /> 1. Name of operations Deepe Farm Pit <br /> (Pit, mine, or site name) <br /> I <br /> I <br /> 2. Nam_ of applicant/operator Flatiron Sand and Gravel Company <br /> (Name to be used on permit) <br /> I <br /> 3. Address and phone nl_mber of P O. BOX 229 Boulder CO 80306 ' <br /> local offices 444-2151 <br /> 4. Address and phone number Samp <br /> of general offices <br /> 5. Name and phone number of person <br /> staff members should contact444-9151 <br /> 6. ?%rent Corroration, if any Mnnp ' <br /> (In _ude name 6 address) <br /> 7. C cr(%) c. record of affected i <br /> laid (sur?ace area) <br /> (if more than 2, list in Exhibit P) <br /> 8. Con.ar(s) of substance to be mined <br /> (If more tHan 2, '_ist in Exhibit P) I <br /> • 9. Source of 1-sal right to enter <br /> Gr...dicate what type of proof is <br /> included in =xhfbit 0 - lease, deed, <br /> notarized letter, etc.) <br /> 10. /]•pe of ❑'_r.e S substance to be mired Pi t <br /> (-;pacify c-derground, strip, open pit, Sand and Graveli 1 <br /> etc. an& subntance's) to be mined) f : <br /> 1 <br /> 11. Ccn^rel 1-cation o ele7ntion (Miles I j <br /> h '_rer.ti�n frnn -earest tovn a ; mile east of Boulder <br /> Site e:e.•arfon) <br /> � 5380 I <br /> 12. Co�.ty I n l f7g�• <br /> 13. Acreage of affected lards <br /> (Total surface acreage to be 168 - 5 <br /> included in permit) <br /> 14. Application fee (See Rule 2 to <br /> dcte_nni-e amount) <br /> 15. 'r'sent lard ue+ I AOri ttltttral , <br /> (i.e. , a¢ricu)rurnl, industrial, etc.) r <br /> 15. ?-n' =-_- Agri cul tral mining rpsidpntia <br /> n pn S=a p light industrial: <br /> • 17. Pr=posed fu'ure land use <br /> (Goal of recla-arson) <br /> 18. Otte= =1n_ng permits 6 operations <br /> in Co'_orado (See Rule 2 for guicaoce) <br /> 19. nt lends herein do -at affect any of I So affirmed. <br /> the 1en's eeec-fbed L� Section I <br /> ' `5(c) (soe-ify %`.f'=at_oc) II <br />