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?PJiiC3ticn YJr iyinlnC an.. <br />~'.72r7~en2 ~' ..a t'. r31 ~eSCUr_e5 ?eC12m27~Cn °-'1:' ?U.'SUant <br />-r <br />;•.'.E] L:r1C =c~=:,:?tA'~J)I ?na~Z? `o CRS 573, 3~-32-i0i at sec <br />i?~j Sherman Street, accm 4.23 .1 ? )~9) <br />Denver, C0 cC203 (303)$ya-3cgi. <br />i. `lame cf oearatians <br />(Pit, mine ar site Tama) <br />~+~>~at~~~~i~~s <br />2.. Name of abpticant/aoar~atbr ,Yuma Coanty <br />(Nanatb Se used on per'+tt) <br />3. Address and phorta.nueber.af County Shop 1 a e ay <br />IOCaI Q>'fr.4as <br />303-332-5718 <br />4. Address and phana nurocar <br />of general offiges <br />or <br />$. Nana ~ar+d p6Cne number of .parses <br />staff ~anibaFS shoutd~e:ertae.t <br />R. C. <br />Parent Coecorariart, if any <br />(I nbiGflat nab ; iddrsr!"s) <br />7. O.wner(s) of record of affected <br />land (surface area} ~I <br />(If more t!~an 2, list in E;CHf91T <br />Mekelburg, Milton 8 Genevieve <br />Milton 8. Genevieve Mekelburg <br />8. C:vnar(s) of substarten to ba mined <br />(If mote Chan 2, list in _XH191T <br />?. Saures of lagat ri.aht to.:rttar <br />(Indicatc>what 4yRt 0'f pri'2of i3 <br />included i'-t cX1#181T ~p) '- 'IC?c`': 5~ <br />3~1Lc- .9.1 (3) , Rut fs ~ Rags , .. p~46. <br />10. Type of mine s subscince to be mi <br />(Specify un~ar*,'round,.s.trip, open <br />etc. and subranca(s) to ba mined <br />11. General Location b alava.tion (mils s <br />direction frem nearest to++n b apo xi <br />mate site elevation) <br />12. Wun;y <br />Verbal <br />Open Pit <br />Gravel <br />16 lAi. N <br />Attorney <br />~~I,,N~~4 Mi. N of Yuma <br />xiroate y ee <br />Yuma <br />13, acr:age: of affected lands (Total <br />sur'ace aereaca to be included in' ~ 12.6 acres (approximate) <br />permit (See RULiE 1 far definiticn~. <br />_. a ~,. ..~ .. , ~ <br />14. Aoeiication fee (See RUL: 2 to <br />determine amount) ~ N/A <br />15. Present land use (i.e., agricultu al, <br />industrial, etc.) ~~ grassland <br />15. Surcaundinq land uses ~ grassland <br />17. Proecsed future land use (Final us{e I grassland <br />----- ----afssr-Faalamationi . <br />I°. L'nperit7_d mining eoeraticns (Sae i t,(/A -_ - ~ <br />,_____ __ nUl_i_I lil3~_ I - <br />-- -- _------- - (over) <br />