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OF ~~Cp <br />.~F' 'Py <br />F~ O <br />• ~ x <br />~. <br />~ /876 s <br />Ricnartl O. Lamm <br />Governor <br />DEPARTMENT OF NATURAL RESOURCES <br />Devia M. eetcnea, Fsacuuva Dlreotor <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SH ELTON, Olnctor <br />~,~~4 '~cUr~ r <br />REGULAR (112) PERMIT FEa ~• ~' ~'~`~~ J++~ - c <br />APPLICATION FORM <br />['ILcD Lk\~ `of F atu~allR sol;rCesDF1 <br />cold. D2p- <br />Application for Mining and Reclamation Permit, Pursuant to C.R.S. 19.7.3, D4-32-101, <br />et sag, as amended. ~,./_ ~~ ,_L, J~ J ~~ _ [~~-~S J { <br />Type of Print Clearly <br />1. Name of Operation <br />(pit, mine or site name) <br />2. Name of Applicant/Operator I Penn Mountain r4ining Inc <br />(name to be used on permit) <br />• <br />3. Address and Phone Number of <br />Local Office <br />4. Address and Phone Numher of <br />General Office <br />Gold Placer <br />Box 1463 Ogden, Utah <br />801 399 0601 <br />Sox 1463 Ogden, Utah 184402 <br />801 399 0601 <br />5. Name and Phone Number of Person ~ Ed Rich 801 399 06p1 <br />Staff Members Should Contact <br />6. Parent Corporation, If Any ~ none j <br />(include name and address) ~ <br />7. Owner(s) of Record of Affected ~ Bullger Basin Ltd <br />Land (surface area) I box 1463 Ogden, Utah 84402 <br />(i f more than two, l i st i n I Joe Dodqe <br />EXHIBIT P) I 1226 Elm Ave, Canon Cit Co 81212 <br />8. Owner(s) of Substance to be II <br />Mined (if more than two, list ~ Same as #7 <br />in EXHIBIT P) <br />l.~ <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. 30~) 866-3567 <br />1~ <br />