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OF Cpl ~ .. . <br />y~:' "~°]"" 9Qi DEPARTMENT OF NATURAL RESOURCES ~ <br />y ~~ ~- y Davitl K Getcnea Fsewtive Dlraotor <br />~.~ ...MINED LAND RECLAMATION DIVISION <br />* X876 } ~- DAVIDC. SNELTON, Dlrbctor <br />J <br />. <br />Ritnartl D. Lamm <br />Governor JU'1I V i5~b <br />1 REGULAR (112) PERMIT ' <br />n-. . ;}lAPPLICATION FORM <br />.u.' ........ ... ~,~ <br />Application for Mining and Reclamation Permit, Pursuant to C.R.S. 1973, 34-32-101, <br />' et sew, as amended. <br />~--8(fl-079 C~ 5o~y / ~y5.oc~ <br />' (Type of Print Clearly) <br />1 <br />~I <br />1 <br />1 <br /> <br />1. Name of Operation <br />(pit, mine or site name) <br />M & C <br />Pit <br />2. Name of Applicant/Operator Al Fr et ~ 4onG <br /> (name to be used on permit) <br />3. Address and Phone Number of 11521 Brig hton Road 2R4_~~tF <br /> Local Office I Henderson, Colorado 80640 <br />4. Address and Phone Number of <br /> General Office I Same <br />5. Name and Phone Number of Person Mike Apple gate <br /> Staff Members Should Contact I 452-6611 <br />6. Parent Corporation, If Any N/A <br /> (include name and address) ~ <br />7. Owner(s) Of Record of Affected Pollv anna F. Mann. Marital Trust <br /> Land (SUrfdce Bred) I John Kemo. Trus ee <br /> (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance t0 be Polly anna F. Mann, Marital Trust <br /> Mined (if more than two, list I John S. Kemp, Trustee <br /> in EXHIBIT P) <br />1 <br />1 <br />' 423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (30'1) 866-3567 <br /> <br />