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... <br /> <br /> <br />~'ECEIVED <br />,: ~ <br />/OCT 3 1977 <br />:.yam <br />~- <br />I <br />i <br />I <br />~~ <br />~: <br />~7-Nas' <br />~~ REChAMAT~ON SECTION ----- <br />. Colo. Dept. ci P.afira~ °esn!~rces <br />REGIIL.4R (112) PxRMIT APPLICATION FORM <br />STATE OF COLORADO Application for Mining and <br />Mined Land Reclamation Board Reclamation Permit, Pursuant <br />Department of Natural Resources to C,R.S. 1973, 34-32-101 et <br />1313 Sherman Street, Room 723 <br />Denver, CO 80203 __ _ _ _ __ _ <br />TYPE OR PRINT CLEARLY <br />1. Name of operations ~ ~* G 4 c;L PIT ' <br /> (Pit, mine, or site name) <br /> <br />2. <br />Name of applicant/operator N~ <br />Li~RIl`aIL''R COUNTY ''~/"~`' ' <br /> (Name Co be used on permit) I <br />3. Addzesa and phone number of ~ liras CO <br /> local offices 221-2100 Ext 392 <br />4. Address and phone number <br /> o£ general offices <br />5. Name and phone number of person Wm. 4Y. Campton <br /> staff members should contact <br />6. Parent Corporation, if any <br /> (Include name 6 address) <br />7 Owner(s) of zecord of affected <br />. land (surface area) <br /> (If more than 2, list in Exhibit P) <br />8. Owner(s) of substance to be mined <br />~ n <br /> (If more than 2, list in Exhibit P) <br />9. Source of legal right to enter F <br /> (Indicate what type of proof is <br />included in Exhibit 0 - leaea, deed, <br /> notarized letter, etc.) <br />