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—� <br /> 12) PERMIT APPLICATI0:7 FORM tr <br /> STATE OF C_LORADO Application for Mining and <br /> Hired Land -Reclamation Board Reclamatioa Permit, Pursuant <br /> Department of Natural Resources to C.R.S. 1973, 34-32-101 at sea <br /> .• 1313 Sheraen Street, Rocm 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 /> 2. Fame of applicant/operator Flatiron Sand and Gravel Company <br /> (Name to be used on permit) ' <br /> I <br /> 3. Address and phone number of P O. BOX 229 Boulder CO 80306 •. <br /> local offices 444-2151 <br /> 4. Address and phone number G'ma <br /> of general offices <br /> 5. Name and phone number of person Maraarat- Winter <br /> staff members should contact <br /> 6. P3rent Corporation, if any Nnnp <br /> (Inc_ude na=e L address) <br /> 7. Cnar(3) record of affected <br /> laad (surface area) <br /> (if more t:.an 2, !fat in Exhibit P) <br /> . 8. Coner(s) of substance to be mined <br /> (If more than 2, '_ist in Exhibit P) I <br /> • 9. Source of !cSal right to enter <br /> (Indicate What type of proof is } <br /> incltded in Exhibit 0 - lease, deed, ` I <br /> noted=ed latter, etc.) <br /> 10. -,ype of ,'re 5 su-s:ance to be mined pi t <br /> (.',�:ecify underground, strip, open pit, 7 <br /> Sand and Gravel <br /> eta. and a:lpatdlCC(S) to be mined) i <br /> I i <br /> 11. Ccncrel 1ccation 6 elevation (Miles Ifii T 1 Se R 7n W <br /> 6 Ilrar.ticn frcn nearest town a ; mile east of Boulder 1 <br /> eprr^x-mate a'_te a:e•var:on) <br /> 5 1 <br /> 12. Cc,unty 1 <br /> 13. Acreage of affected lards i <br /> (Total surface acreage to be 168 - 5 <br /> included In permir) <br /> 14. Application fee (See Rule 2 to <br /> doted=_ emount) i <br /> 15. 8res=_n; lard un" J Acir,i r ul tura l <br /> (L e., acriculc::rnl, industrial, etc.) <br /> • 15. _ <br /> pan C e I <br /> • 17. Prc?oaed future )and use i <br /> (Goal of reel e.-altos) <br /> 18. Ot�et min-ng oer_1;3 6 oPeaciona Sep atfarbpH <br /> in Co'_ora'_o (See Pule 2 for guidance) <br /> I ' <br /> 19. TSe lands hereln da nat a'_:ect any of So affirmed <br /> the la=-'a deb': :D'd -.z Section <br /> 1.55(9) . (Scetlfy sff'—atop) <br />