PERMFILE121002

• Permit No: M1986079
• IBM Index Class Name: Permit File
• Doc Date: 6/4/1986
• Doc Name: POLLYANNA F MANN MARITAL TRUST M & G PIT APPLICATION FOR MLR PERMIT IN ADAMS CNTY
• Media Type: D
• Archive: No

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