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f ~~~F' C~~~?9 III III III IIIIIII III <br />yQ:'_$ DEPARTMENTOFNATUnn~r,~.,999.._ <br />* ~,~ 1 * Davltl M. Gatche4 Easculiva Director <br />~~Y ' _ MINED LAND RECLAMATION DI\ <br />/gj6 gE,~D VIDC:' LT9N:~~roctor <br />R~c~artl D. Lamm <br />Governor <br />uu~ 1 B 7°B5 <br />i!i~i'4~ LRP.'D REL'LA1~,4 ~ i0N <br />Co!o. llept. of natural Resources <br />~, <br /> <br />REGULAR (112) PERMIT <br />APPLICATION FORM <br />Application for Mining and Reclamation Permit, Pursuant to C.R.S. 1973, 34-32-101, <br />et. ~, as amended. VN _ Q ~_I ,~ ~ <br />(Type of Print Clearly <br /> <br />1. Name of Operation <br />(pit, mine or site name) Horton Gravel Pit <br />2. Name of Applicant/Operator Lorimer County <br /> (name to be used on permit) <br />3. Address and Phone Number of P.O. Box 1190 <br /> Local Office I Fort Collins, Colorado 80522 <br />4. Address and Phone Number of Same as above <br /> General Office <br />5. Name and Phone Number of Person Elaine W. Spencer <br /> Staff Members Should Contact I 221-7733 Fort Collins a 5O <br />211 - 7>3`I <br />__ <br />6. Parent Corporation, If Any <br /> (include name and address) ~ <br />7. Owner(s) of Record of Affected La rimer County <br /> Land (surfac:e area) <br /> (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be State of Colorado _ <br /> Mined (if more than two, list <br /> in EXHIBIT P) <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (30't) 866-3567 <br />