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. ~ -• <br />Richartl D. Lamm <br />Governor <br />• ui ^n~n~liuuiu <br />DEPARTMENT OF NATUI 999. _ __ <br />Davitl H. GelchaR Executive Director <br />MINED LAND RECLAMATION DIVISION <br />DAVID C. SH ELTON, Dlnet6r <br /> <br />sEa ~ ~sas <br />REGULAR (I12) PERMIT <br />APPLICATION FORM <br />Applicat}bhy:~qr~M.igRin9~aihd,~Becil~l`~tion Permit, Pursuant to .R.S. 1973, 34-32-101, <br />C <br />et sew, as~i~n?09eds (~3rLtral FiasU~.!ICa:; ~ ~S(n ' ~~ Z3 ~ <br />,l <br />7 <br />ll~O. ~ C,K~ya9~ <br />(Type of Print Clearly) <br /> Kirtright Pit <br />1. Name of Operation <br />(pit, mine or site name) <br />2. Ndme Of Applicant/Operator Coulson Excavating Company, Inc. <br /> (name to be used on permit) <br />3. Address and Phone Number of N/A <br /> Local Office <br />4. Address and Phone Number of 3609 N. County Road 13, Lovleand, CO 60537 <br /> General Office I (303) 667-2178 <br />5. Name and Phone Number of Person Mark Winson <br /> Staff Members Should Contact 1 667-2178 <br />6. Parent Corporation, If Any N/A <br /> (include name and address) ~ <br />7. Owner(s) of Record of Affected Virgil Kirtright <br /> Land (surface area) <br /> (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be Virgil Kirtright <br /> Mined (if more than two, list <br /> in EXHIBIT P) <br />423 Centennial Building, 7313 Sherman Street Denver, Colorado 80203 Tel. (30'x) 866-3567 <br />