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' LIAfITED I1IPACT ARD SPECIAL (TEN-DAY) III III III IIIIIIIIII <br />~PER1fIT APPLICATION FORSI <br />STATE OF COLORADO ~ii_;'(~ I,y k~,-,, lication for Mining and <br />tined Land Reclamation Board ~°"'a''~= ~~ ~lamation Permit, pursuant <br />department of Natural Resources to C.R.S. 1973, 39-32-101 et seq. <br />1313 Sherman Street, Room 723 c~ ~j1978 <br />enver, Colorado 80203 ''tP 4 <br />File #'1 p'- 3 6~ <br />1 Name of operation ~~~ ~~ ~ ~ ` ~ ~ <br />J~ <br />, <br />. ~ ° ~ ' ~`'~ ~ <br />' <br /> ~ <br />, <br />(Pit name) _, ..~.~ <br />.;_...~s <br />2 Name of applicant/operator John Frank Triantos, Jr. <br />3 Address/phone - local office <br />' <br />4 <br />Address/phone - general office - <br /> <br />5 Name and phone - person staff John Fra i <br /> members should contact Crai Allen 'a <br />6 Owner(s) of record of affected <br />lands - surface area John Frank Triantos Jr. and Craig Allen <br />Triantos <br />' 7 Owner(s) of substance to be mined Same <br />8 Source of legal right to enter (see Exhibit G Narrant Deed <br />9 Type of mine and substance to be <br />mined <br />Open pit, sand and gravel <br />10 General location and elevation 3,75 miles }vest of the <br /> (Miles and direction from near- Town of Delta Colorado <br /> <br />11 est town and site elevation) <br />County Elevation:4970 feet ± sea level datu <br />Delta <br />12 Acreage of affected lands 9.9 acres _ <br />13 Application fee $125.00 <br />'14 Present land use Waste land no ran e or cro . <br /> <br />15 Proposed future land use Returned to waste land <br />' <br />lb Allll 1'1~lUNHL 1Nt'Ult hl H~1'1VN <br />' This space can be referenced for further information of any of the <br />items on this form. <br /> <br /> <br /> <br /> <br /> <br /> <br />1 <br />To the best of my knowledge, all the o at~i-o~~e~nted thi <br />application is true and correct. .~~~J`~"""`~ ~ ~, <br />Dated g~// ~ 1978 By ~~lv '"GG <br />Title Oc,ners <br />(legally authorized to bind <br />the operator) <br />