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• ~ ~ REC17IaR (ll2) PEAMIt 1AVPLIUTIOH FORH ~ ~ • ~_ ~ ~ ~ ~ ~ ~ - <br />STA2E OP COLORADp ~ Appl ica[Soa for Tlin fns and <br />Hired Lend P.e clana[Son Board ~ Aecln~a[Son Permit, Pursuant ' ._ <br />Departaea[ of Natural Resources ~' ~ [o C.A.S. 1973. 34-32-101 e[ ear <br />1313 Sharron Scre et, Room 723 ~ -~~ <br />Denver, CA 80203 ~ ~ ~ ~ ~.:: ` - <br />TYPB OR PRINT CLp1 Rij ~ ~ ~ ~ - .. <br /> <br />1. Nazis of opera [loan ~~ Northern No. 1 Hine -' ~ ' <br />Milk Creek loadout ~ ~r-,~ , <br /> Nnrthor u 7 Yino <br />(Pie, mine, or site name) Northern No, 3 Hine ~ - - <br />_, <br />2. t:ane of app2lcant/ope re[or Northern Loal Lan an '" ' <br />(Hone [o be used on permit) <br />3. Address and phone number of 14 '- ~' <br />locnl o[f ices Meeker, Colorado 81641 :~ ~_ 'i <br />.. <br />6. Address and phone amber _ ~ yP. ~( , _ ~p~'1,14~ _ _ - "~ --- <br />of general offices ?Seeker, CO 81641 ~ -~' ~ - <br />Diane L. Ge er - ' <br />' S. Hone end phone number of person Y .- ' <br />e[nEf re_b era should contact ~ 3~~$ % - " ' - <br /> I~ ~6. Parent Corporation, 1f say ~~ <br /> ' (Include nz^.e G addreea) <br /> ' 7. 0.a _r (e) of record of affeeced <br /> ' land (6 a: fdte 8re a) <br /> (Tf tore [ban 2, list in E>.h iblt P) <br /> ' 8. 0.rer (s) of subs tense io be Wined <br /> , (If Wore than 2, list in Exh lb It P) <br /> 9. Source oC level right to enter <br /> . (Indira;e :: ac type of proof Ss <br /> ~ ire lud ed in Erhib it 0 - lease, deed, <br /> no[arl:ed letter, etc.) <br /> 10. type o_' ~ne d cube :ante [o be Wined <br /> . ~ (Specify underground, atr Sp, open pi[, <br /> . att. and cube [sate(s) to be Wined) <br /> I <br />~ 11. <br />: Cenerzl location b el eve[Son (Hiles <br /> 6 direction fznn neores[ taw d <br /> apprcxira to nice eleva [ion} <br /> i 12. County <br /> 17. -Ac:eaSe of effected lands ~ <br /> ~ ~ (TO Cel surface acrcega co be <br /> _ iatludeL Sn peroic) <br />.~ ~~14. Applicstion fee (gee Aule 2 to <br />. ~ ~ ~ '. ~ deteroine enounc) <br /> ~ 15. P: seen[ lend uc! '" <br /> (i.e., etriculrurnl,~induscrial, etc.) <br /> 16. Su:_au-ding lend uses <br /> ~' 17. Proposed future ]and use <br /> (Goal of reel arsctan) <br /> ' ~~ 18. Oche: siring pe .i:e 6eoprreClora <br /> 'in [olo:ado (See Pule 2 for guidance) <br /> 19, <br />i The lcnda }. e..-e1n do rot affect nny of <br /> the lands dee•:zibtd Sn .ec t!on <br /> 1.55(9), (Specify effl^acion) <br /> _- ... ._ _ - -- - _ _ . ~ 1 •7 <br />1 <br />Chapter B <br />Chapter B <br />proxir.,ately 5 mile< <br />proxirza to a eve for <br />o Blanco County <br />1.5 acres <br />111,50 <br />-icultural,Wil dlife <br />1. <br />:h of Meeker, Colorado - <br />set _ - <br />. .1 <br />• -I <br />~ - <br />tat ~ ••Industrial .. _ ._ .. <br />tat ~`~1 <br />tural,Wil dl ifs Habitat <br />enzu I:o. 2 Hine-Permit No. 78-345 <br />t:o, 1 Mire-Permit No, 79-9 - ' <br />herein do no[ affect any of the lands <br />1 <br />