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<br />STATE OF COLORADO
<br />!lined Land Reclamation
<br />Department of Natural
<br />° 1313 Sherman Street,
<br />Denver, CO 80203
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<br />REGL'LAR_(112) PERhfiT APPLICATION FORK I~,~ I /v~
<br />~ ~ ~--'~--• ~- 3 Application fot Mining and
<br />Board ~ Reclamation Permit, Pursuant
<br />Resources ~µ N 2 w ~y79 to C.R.S. 1973, 34-32-101 et seq.
<br />Room 723
<br />R~~L.a^hATlC(d SECTION
<br /> i~~ ~UB'•P~tIN~'~C~.F~~eS 1-, 1~ ~ ~ ~ . "~ ~-10
<br />1. Name of operations AvPr~ Conctrnntion ai+ .
<br /> (Pit,., mine, or site name)
<br />2. Name of applicant/operator _
<br />tr ~ o»
<br /> (Name to be used on permiC)
<br />3-. Address and phone number of 8'l~I~
<br /> local offices ~~~,,
<br />4M Address and phone number u.. ~_~: iati'iei~~fue_,'• su;p,,td•• .,~a,~, ,
<br />1 ~ l l
<br /> of general offices ,,,,,r
<br />5. Name and phone number of person . R,t~.~,~„
<br /> staff members should contact
<br />6. Parent Corporation, if any
<br /> (Include name S address)
<br />i 7. Ower(s) of record of affected f~~}pna Vic+a
<br />R1JNgLD y,SatTrineD
<br /> land (surface area) ~
<br />ver Construction Co.Inc.
<br /> (If more than 2, list in Exhibit P)
<br />8. Oanar(s) of eubatance to be mined
<br />2
<br />i
<br />hibi
<br />R „Pna Vic+a
<br /> (If ,wre than
<br />, list
<br />n Ex
<br />t P)
<br />9. Source of legal tight to enter
<br />& Deed
<br /> (Indicate vhac type of proof ie
<br />included in Exhibit 0 - lease, deed,
<br /> notQriaed letter, etc.)
<br />10. Type .of mirye d eubatance to be mined
<br /> (Specify underground, strip, open pit,
<br />bstance(s) to be mined)
<br />et
<br />d s
<br /> u
<br />c. an
<br />11. General location & elevation (Miles
<br />6 di~tction from nearest toRn: &
<br />roximate Bite elevation)
<br />a .t i
<br />;,, ;
<br />'''`• •
<br /> pp x. '^
<br />12. County ~~+
<br />13. Acredge of affected lands
<br />(Total surface acreage to be
<br />-~
<br /> included in permit) ~
<br />14. Application fee (SP.P_ Rule 2 to ',
<br />-
<br /> determine amount)
<br />15. Present land use
<br />i
<br />l Industrial Gravel Pit
<br /> , etc.)
<br />e
<br />(i.e., agricultural, i.nduatr
<br />16'. SurrO nding land uses 'al, Gravel Pit, Agricultural,
<br /> "'"' Recreational Residential
<br />17. Proposed future land use icul trual , Recreational
<br /> (Goal of reclamation)
<br />(possible landfill)
<br />18. Other mining permits b aperatlona
<br /> in Colorado (See Rule 2 far guidance)
<br />78-213
<br />19. ___
<br />The lands herein do not affect any of. Nn+ affPr+Pri
<br /> the lands deacribe.d ii, Section
<br />1.56(9), (Specify affirmation)
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