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PERMFILE115409
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PERMFILE115409
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Entry Properties
Last modified
8/24/2016 10:11:25 PM
Creation date
11/25/2007 12:50:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984134
IBM Index Class Name
Permit File
Doc Date
8/3/1984
Doc Name
LIMITED IMPACT 110 & SPECIAL TEN-DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br /> <br />1 <br />1 <br />1 <br />LJ <br />1 <br /> <br />J <br />1 <br />1 <br /> <br />t <br />1 <br />J <br /> <br /> <br />1 <br /> <br /> <br />-2- <br />3. Address and Phone i~w~oer of <br />Local Offices <br />P.0. Box 104 <br />4. Address and Phone Number of <br />General Offices P.0. Box 1046; Lamar, Colorado 81052: (303; 336-9001 <br />5. Name and Phone Numoer of Person <br />Staff ~lemoers $noulo Contact Carl Winsor (303) 336-9001 <br />ti. Owner(s) of Record of Affected Land <br />(surface area) (If more than 2, list below) Bernard Nine <br />7. Owner(s) of Substance to be Mined <br />(If more than 2, list below) <br />Bernard Nine <br />8. Source of Legal Right-To-Enter <br />(Indicate what type of proof is <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />Notarized statement <br />9. Type of iā¢iine and Substance to be t4ined <br />(Specify unaeryround, open pit, <br />quarry, etc. & suostance(s) to <br />ue mined) Open pit; s~d and gravel <br />lu. ueneral Location and Elevation <br />(Miles & direction from nearest 26 miles south and 10 miles ast of Lamar, <br />tuwn & approximate site elevation) Colorado; elevation 4030' <br />11. County <br />Prowers <br />12. Acreage of Mffected Lands <br />(Total surface acre aye to be <br />included in permit) <br />9.9 acres <br />13. Application Fee (See applicable <br />Rule to detzrmine amount) <br />Exempt <br /> <br />
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