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~. _ <br />~~,. 7I18 <br />REOUL_AR~~)~~pR1A~P°~1~gll~$'q)'1°F„ON FORM <br />State of Colorado Application for Mining and <br />Department of Natural Resources FE B ~ 8 1982 Reclamation Permit, Pursuant <br />MINED LAND RECLAMATION BOARD to CRS 1973, 34-32-101 et seq <br />1313 Sherman Street, Roam 723 MIiVED LAND RECLAMATION <br />Denver, CO 80203 (303)839-3567 Cale. Dept. of Natural Resources <br />~z-is c k-d. ~sis-I <br />. (Type or Print Clearly) <br />1. Name of operations <br />- (Pi[, mine or site name) <br />Siegrist Construction Co.. <br />2. Name of applicant/operator Siegrist Construction Co:; <br />(Name to be used on permit) <br />3. Address and phone number of <br />local offices <br />(303) 288-1 <br />4. Address and phone number <br />of general offices Same as <br />5. Name and phone number of person. I Robert Siegrist - 288-1586 <br />staff members should contact- <br />- - Bob. Cox - 288-1586 <br />6. Parent Corporation, if any <br />(Include name 6 address) <br />7. Owner(s) of record of affected <br />land (surface area) <br />(If more than 2, list in EXH181T P) <br />Same. as 1' <br />Robert L. Sieorist and/or Construction Leasing <br />Investment Company.- A partnership, a majority <br />owned subsidiary. (See Exhibit KK1 <br />8. Owner(s) of substance to be mined <br />-_.. (If more than 2, list in EXHIBIT P) Sa <br />9• Source of legal right to enter <br />Deed - (Affidavit of Ownei <br />r~ <br /> <br />.. (•uolleoildde slyl o; ~cle~ado ay3:.. <br />Pu!q o3 pazluoyine ,(Ileoal lenplnlpul %q aunleu614).. - <br />..~.. <br />. _~; - <br />... _.. ~aurap ,_31111. <br />- lsu6aig •l lea y `. - -:,r_,j - - <br />.. AB <br />... .. ...;oauuoo pue an~3 <br />sl uol3eolidde _y~ I paluasaud..uol~eu:uo~u1 ayl Ile 'a6palMOU~ Aw to lsaq ayi of <br /> J <br />V <br /> <br />-~ . _ ~. <br />