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REGULAR (112) PERMIT APPLICATION FORM <br />STATE OP COLORADO <br />Mined Land Reclamation Board <br />Department of Natural Resources <br />1313 Sherman Street. Room 723 <br />Denver, CO 80203 <br />TYPE OR PRINT CLEARLY <br />Application for Mining and <br />Reclamation Permit, Pureuaat <br />to C.R.S._ 1973, 34-32-101 et ae <br />~~~~il ~ ~~l J~~il r ~~l J~ <br />F. Ic No. 7 ~- al9 <br />1. Name of operations BEULAH MINE <br /> (Pit, mine, or site name) <br />2. Name of applicant/operator GENERAL REF C E ' <br /> (Name to be used on permit) U. S. DIVISION <br />3. Address and phoae number of <br /> local offices Pueblo olor 5 <br />4. Address and phone number 500 want street Rnnm 700(1 <br /> of general offlcea Pittsbur h PA At[n: inin a rtment <br />S. Name and phone number of peraoa Lloyd weir <br /> staff members should contact -Q137 <br />6. Patent Corporation, if any Cor orate Hd trs. - <br /> (Include name b address) Bala Cynwyd, PA 19004 <br />7 Owner(s) of record of affected James P. Hanratt <br />. land (surface area) ale llee <br /> (If more than 2, lief in Exhibit P) <br />8. Owner(s) of eubatanee to be mined James P. Hanratt <br /> (If more than 2, list in Exhibic P) <br />Dale Allee <br />9. Source of legal right to enter Notarized Statement <br /> (Indicate what type of proof ie <br />included in Exhibit 0 - lease, deed, <br /> notarised letter, etc.) <br />10. Type of mine b substance to be mined Stri -clay and sandstone <br /> (Specify underground, strip, open pit, <br />i <br />d <br /> ne <br />) <br />etc. sad substance(s) to be m <br />11. Ceaezal location b elevation (Miles 3.4 miles NE from Beulah Colorado <br /> 6 direction from nearest tow 6 <br />i Elevation 6000' <br /> on) <br />approximate site elevat <br />12. Couaty Pueblo <br />13. Acreage of affected lands <br />(Total surface acreage to be <br />32.2 Acres Am nd n ddi <br /> laeluded in permit) subtraction 8.3 ac. = net -4.5 ac.) <br />14. Application fee (See Bule 2 to 110.00 ($50 & $60 (4 @ $15) _ $110) <br /> determine amouat) (4 = Amended 3.8 ac. addition <br />1S. Present land use Mining, rangeland <br /> (i.a., agricultural. industrial. etc.) <br />16. 6urrounding land wee a eland <br /> <br />17. Proposed future land use en land <br /> (Coal of reclamation) <br />ls. Other aiaing permits b operatioaa Hone <br /> to Colorado (See Bul• 2 for =uidanee) <br />19. The lands hernia do not affaet say of No lands described in section 1.56 9 will <br /> the leads described is Section <br />1.'36(9) S eeif affira+etion) <br />be affected <br />