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iii iiiiiiiiiiiiiiu <br />999 <br />RiCharC D. Lamm <br />Governor <br />DEPARTMENT OF NATURALRE$OURCES <br />DevIE H. Gelehe4 Ezeculivs Dlreclor - <br />MINED LAND RECLAMATION DIVISION <br />"'Ci~~~Dr QQ..~ <br />FF ~ 7 ~g REGULAR (112) PERMIT <br />APPLICATION FORM <br />MINED tANO RECLAMATION <br />&~p~pt. of Natural Resources MtN1 <br />Application f r lining and Reclamation Permit, Pursuani~Qle. <br />et seq, as amended. <br />/~1-8ro-01.5 P3C tiz <br />(Type of Print Clearly) <br />1. Name of Operation <br />(pit, mine or site name) <br />Pueblo East Pit <br />2. Name of Applicant/Operator <br />(name to be used on permit) v[o.co Puebio Concrete Division <br />3. Address and Phone Number of ~ P,o- sox 857, Puebio, Colorado 81002 <br />local Office I Phone: 561-8350 <br />Ffe 71986 <br /> <br />4. Address and Phone Number of ~ P,o, sox 550, Rocky Fora, Colo 81067 <br />General Office I Phone: 254-7464 <br />5. Name and Phone Number of Person <br /> Staff Members Should Contact <br />6. Parent Corporation, If Any <br /> (include name and address) <br />1. Owner(s) of Record of Affected <br /> Land (surface area) <br /> (if more than two, list in <br /> EXHIBIT P) <br />8. Owner(s) of Substance to be <br /> Mined (if more than two, list <br /> in EXHIBIT P) <br />Same as 1l4 above <br />423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. (303) 888-3587 <br />