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7/78 ~ REGULAR (112) PERMIT APPLICAi FORM / <br />r '." <br />State of Colorado F ~ -° Application far Mining and <br />Department of Natural Resources Reclamation Permit, Pursuant <br />MINED LAND RECLAMATION BOARD iDy 1 ~ ~~5~ to CRS 1973, 34-32-101 et seq <br />1313 Sherman Street, Roam 723 IOPd <br />Denver, CO 80203 (303) 839-3567 ~,t~1Fn LAND REC~Ao anurces ~ b ~ ~fa <br />Colo. ~~v` " <br />(Type or Print Clearly) <br />1. Name of operations TJest Rifle Pit <br /> (Pit, mine or site name) <br />2. Name of applicant/operator <br />(N <br />b <br />d <br />i <br />) Richard E White <br /> on perm <br />ame to <br />e use <br />t <br />3• Address and phone number of <br />l <br />l <br />ffi 1801 Td 2nd <br /> oca <br />o <br />ces <br />Rifle, Colo 81650 h. 625-3063 <br />4. Address and phone number <br />of general offices same as (3) <br /> <br />5• Name and phone number of person <br />h <br />ld <br />ff <br />b Richard E TJhite <br /> mem <br />sta <br />ers s <br />ou <br />contact <br />o. Parent Corporation, if any <br />(Include name E address) <br />none <br /> <br />7. Owner(s) of record of affected <br />land (surface area) Richard E. and Atta Dee White <br /> (If more than 2, list in EXHIBIT P) <br />8. Owner(s) of substance to be mined <br />(If more than 2 <br />list in EXHIBIT P) <br /> , <br />9• Source of legal right to enter <br />(Indicate what type of proof is <br /> included in EXHIBIT 0) -- NOTE: See <br />RULE 9'.1(3), Rules & Regs,.p. 1+6. <br />10. Type of mine b substance to be mined <br />(Specify underground, strip, open pit, <br />Open pit (topsoil stockpiled for <br /> etc. and substance(s) to be mined). <br />reclamation) sand and gravel. <br />Il. General location b elevation (miles r: Adjacent to Town limits & approximat <br /> direction from nearest town s approxi <br />mate site elevation) ly mile idest o center of Tcwn of <br />Rifle at an elevation of 5,280'. <br />12. County Garfield <br />13• Acreage of affected lands (Total <br />surface acreage to be included in 22 Acres <br /> permit (See RULE 1 for definition). <br />14. Application fee (See RULE 2 to <br />determine amount) $410.00 ($50.00 + 22 Ac .3 15/Ac. <br />- <br />15. Present land use (i.e., agricultural, <br />industrial, etc.) <br />Agricultural/Residential/Fural Densi <br />16. Surrounding land uses <br />A ricultural Residential Sewage Disp <br />17. Proposed future land use (Final use Light Industrial/Residential <br /> after reclamation) <br />i8. Unpermitted mining operatiens (See <br />RULE 2.11(18} <br />None known <br /> <br />e- <br />s <br />1.~ <br />ty <br />osal <br />(over) <br />~~ ~ ~ ____ <br />