PERMFILE135049

• Permit No: M1981275
• IBM Index Class Name: Permit File
• Doc Date: 11/1/1981
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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:
T REGULAR (112) PERMIT APPLICATION FORM
~ STATE OF COLORADO ~~ ~`-y ' p., ~ l ! ~ N'~
Mined Land Reclamation Board
Department of Natural Resources
13:.3 Sherman Street, Room 723 N'~;V 1 I:~P1
Denver, CO 80203
TY~~~`bR pRftV~f CLEARl.~" ~ ~~
iii iiiiiiiiiiii~ii~
Application for Mining and
Reclamation Permit, Pursuant
to C.R.S. 1973, 34-32-101 et sc
~1. Name of operations Stout-Amick Pit
(Pit, mine, or site name)
2. Name of applicant/operator
(Name to be used on permit)
3. Address and phone number of
local offices
4. Address and phone number
of general offices
S. Name and phone number of person
staff members should contact
6. Parent Corporation, if any
(Include name 6 address)
7. Owner(s) of record of affected
land (surface area)
(If more than 2, list in Exhibit=)
S. Owner(s) of substance to be mined
(If more than 2, list in Exhibit P)
9. Source of legal right to enter
(Indicate what type of proof is
included in Exhibit 0 - lease, decd,
notarized letter, etc.)
10. Type of mine b substance to be mined
(Specify underground, strip, open pit,
etc. and substance(s) to be mined)
11. General location & elevation (Miles
b direction from nearest town b
approximate site elevation)
Darryl Stout
_ 3830 Go. E?d ¢, ~oB~ i c~io ~. ~~
878-5371
r Jack H. Ralf R78-5601
_ -None
_ Phyll is_ Amick ___
Phyllis. Amick
Open Gravel Pit
5 Mi SE of Meeker
._ Elev 6600_ ±_____
12. County ~
~
Rin Alanrn
______ _
13. Acreage of affected lands I
(Total surface acreage to be 42. R Acres _
included in permit)
14. Application fee (See Rule 2 to _
95.00 ~ _
- ek-e1+~91i.`i~ i~IT~
determine amount)
15. Present land use Dry land asture
~
(i.e., agricultural, industrial, etc.) - - ---
-- -
16. Surrounding land uses -Sc~ris!11tuK~l
l7. Proposed future land use Rangeland

(Goal of reclamation) __
18. Other mining permits b operations None
- - -- --
in Colorado (See Rule 2 for guidance)
19. The lands herein do not affect any of They do not.

the Lands described in Section ____
1.56(9), (Specify affirmation)