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, 7/7$ RMIT APPLICATION <br />REGULAR (112) PE FORM <br /> ® <br />r <br />State of Colorado [t~v Application for Mining and <br />Department of Natural Resources Reclamation Permit, Pursuant <br />111tJED LAND RECLAMATION BOARD S E~, 2 ~ 1981 to CRS 1973, 34-32-101 et seq <br />1313 Sherma n Street, Room 723 ~.~~o ~~g <br />Denver, CO 80203 (303)839-3567 <br />CLAMATIDN <br /> c <br />M1NFD LAND RE <br />Cale Dept- of a ur -- <br />(Type or Prlnt Clearly) <br />1 . Name of operations f~ ~ u E p, -1- <br /> (Pit, mine or site name) <br />2. Name of applicant/operator <br />(N <br />b <br />d <br />i <br />) <br />ZE M c.o~4o 5°N, lug.. <br /> ame to <br />e use <br />on perm <br />t <br />3. Address and phone number of <br />l <br />l offi -~ Zf3 P.~rzk. a~~tr <br /> oca <br />ces ~at*«9vs-SBTI <br />~'>/c{v [-V OO.[I SPLn.v> C.~ Q,Go~ p~A.+r S~~-»>.u <br />4. Address and phone number <br />of general offices <br />~'^"'~ '> <br /> <br />5. Name and phone number of person ~eee.,..a F ~~~h~ 9uT-~~~~ <br />Ce NS~•-T/N LN9//*tT~L <br /> staff members should contact y~l A-o-r-~.n z.E-a., .sec ~c 9v~ti ~ -77zo <br />9 V s- rs si <br />G. Parent Corporation, if any <br />(Include name 6 address) <br />5 ~ti^E h5 2 ~ 3 h-eo~~ _ <br /> <br />7. Owner(sl of record of affected <br />land (surface area) <br />- <br /> (If more than 2, list in EXHIBIT P) <br />8. Owner(s) of substance to be mined <br />(If <br />tha <br />2 <br />li <br />t in EXHIBIT P) <br />~~'~-'~' g~""` <br /> more <br />n <br />, <br />s <br />9. Source of legal right to enter <br />(Indicate what type of proof is <br />6~~ - -~~""`'°`" ~Q°£"'°"t <br /> included in EXHIBIT 0) -- NOTE: See <br />RULE 9.1(3), Rules E Regs,.p. 46. .9--rT~ ~ o <br />10. Type of mine 6 substance to be mined <br />(Specify underground, strip, open pit, <br />5 `~"' ° ~ ~"' ~-'~'~'='- <br /> etc. and substance(s) to be mined). <br />11. General location E elevation (miles b Z.S „r„'r~cS c.t-s7 o-f C,a-y,~•Q~o'~-r <br /> direction from nearest town b approxi <br />mate site elevation) <br />r"R-"' elf- fJ"~5''~""~' Sz <br />Er- eV Co Z ~-[ O - ~i ~F o 6 <br />12. County <br />~'7 /~- K- P r ~ ~ ~ <br />13. Acreage of affected lands (Total <br />surface acreage to be included in <br />~ ~ ~ <br /> permit (See RULE 1 for definition). <br /> P,ppl ication fee (See RULE 2 to <br />determine amount) 15 5o t Cso x,S /sit (ba ,fio)f ~io xd S~ <br />~ <br />JY So .y, ,T 75"D ~-drj-a o r t j o = / 3 S ~ <br />~;. Present land use (i.e., agricultural, <br />industrial, etc.) <br />~}g2icr.~.t~ea-~ <br />15. Surrounding land uses ~9~rc~'-Fri L~F4 ~ ~,.'.,,, y.. ~y L~-.~o FJ~~ <br />2zs r oc.,..~r k~ <br />I;. Proposed future land use (Final use f}-y,e-r«Lf~~.,~~ <br /> after reclamation) <br />!?. U~aermitted mining operations (See <br />RULE 2 <br />11(18) <br />U ti ~' <br /> . <br />(over) <br />