PERMFILE121221

• Permit No: M1977094
• IBM Index Class Name: Permit File
• Doc Date: 1/25/1979
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

R`GIILAR 1pp12 PE~.`aT APPLICATI02J OR_'i III III III IIIIIII III
t~rC~~VED sss
STATE OF COLORADO C- ~-- Application for Mining and
Mined Land Reclamation Board Reclamation Permit, Pursuant
Deparemeat of \atural Resources ,JAN ~ `J 1979 "' ~ to C.R.S, 1973, 34-32-1D1 et ee
1313 Sherman Street, Room 723
Denver, CO 80203 11rnnICCLQAppMATION SECTION ,~.,/ q~7 ,/
T1'P~ ~OR~~PRINTr~CLE_4RLYS ff / / " ~?"
1. Name of operations iesthoff Pit~hiorgan Sand ~ Gravel, Inc.
(Pit, mine, or site name)
2. Name of applicant/operator 1~ior an Sand G zv c '
(Name to be used on permit) ~
3. hdd re,AS an~i phone number of ~ ~ ~(- ~~P 1
local offices ~
''~~:
4. Address and pitione number
of general offices
5. Name and phone number of peraoa Geor e 1esthoff & Carv~Westhoff
stuff members should contact 64 -Z 6 86 -20

6.
Parent Corporation, if any ~ '807
~ ~-
(Include name 6 address)
7 Owner(s) of record of affected
. land (surface area)
(If more than 2, fiat in Exhibit P)
' 8. Owner(s) of substance to be mined Geor e Westhoff '`
(If more than 2, list in Exhibit P)
9. Source of legal right to enter No source of le ai right to entr;r is
(Indicate what type of proof ie
included in Exhibit 0 - lease, deed,
needed because George Westhoff is the
notarized letter, etc.) owner of all the land affected.
10. . Type of mine 6 substance to be mined Open Pit mine
(Specify underground, strip, open pit,
i
d)
b Gravel
e m
ne
etc, and substance(s) to
11. General location S elevation (Miles From Ft. 14or an Colo. Milek N on Hrrv 2
6 direction from nearest town 6
i
i
i
l
) W 3 miles on Rd. 1J 1 N on Rd. 16 continued
evat
on
approx
mate s
te e I 1 ~5~;:
2g miles 1J on the haul road, tiELCL}~OT~
-- -' iZ. CountY A;organ
'.r_=. .:. 13.
- ~ Acreage of affected lands
(Total surface acreage to be
40 acres
-=~ included in permit) _.
- 14: Application fee (See Rule 2 to We have aid so far X125.00 on June 1, 1977,
_; determine amount) >~"
ue 2 .00 left to nv.
15. Present land ubn J
pan P1 d
(1.e., agriculrural, industrial, etc.)
16. Surrou^din3 land 'lses

17. Proposed future land use Ran eland
(Goal of reclamatio;)
ild. Othe: mining perml.e b vpe:atlunn Iloiir`
Sr. Colorado (See Rule ? fu: guidance)
19. The lands he:ei:+. do rot affect any of There is no affect.
_:
- ' the lands described in Section
1.56(9) (Specify affir~a[ion)

. "c the Lest of my Y~iouiedi;e, fill thr irfc;;;°;' n pros-ate' ;n „1-~-y~ica',::cn
is true and correct.. L//
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