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i <br />1 <br /> <br />DATA SIIFGI' FOR IPIPLEDIENI'ATION OF 1'IIE SURFACE LAUDS <br />S'1'~\RILI`LA'1'ION PROVISIONS OF 1'llf COLORAW PILNING LAW <br />(For the specific provisions of the ]aw, see <br />Chapter 9'L, Article 32, of the Colorado Revised <br />SCa CU tes 1963, as amended by Chapter 242, <br />Session I.nws of 1969 ) <br />1. Nnmc of Operator- Myi~-TI1`I Mr1t` IIZTT/~ e'E/"/f~~/T' <br />ti(c_STF/,'ti/ DIMS/oltf <br />(If opcrnCor is ei pnrtncrslil.p, pLensc list Howe and ^ddress of each <br />partner and state whaChcr Che partnership is a Limited or general <br />partnership. If operator is a corporation, give the exact name of <br />the corporation as it is on file with the Secretary of State, the <br />address of tl+e corporation, the officers of the corporation, tfie <br />agent for service of process in the State of Colorado and the state <br />of incorporation.) <br />2. Addresses of General and Local Office <br />General Office <br />Local Office ~.1~. ~1CiX yl <br />^) L. y0A/$ ~,+ ~t?J `~0 <br /> <br />Person in n <br />charge C,c~/a/ n AAIDc~'S c~ti1 Phone Bl ~'~6r~ 5 <br />3. Legal description of the area of land to be affected <br />5 w %¢ 5 ~ c. 20 r3 N ,~ ~a W 6Ttr P/\'j <br />4. Number of acres to be affected /O /-~! tiFS <br />5. Names and addresses of owner or owners of the surface of the area of <br />land to be affected by the operation. <br />~'AM/' AS i4 /ic'!/L <br />~'I fl ~ iil.t/ NJf~,F'/c' TT~4 ~ c /~/~ i/ 7' <br />6. Names and addresses of the owner or owners of the mineral rights. <br />~"1F1(?Trxl h~Il42lc-TrA- C/=MEn/T WC-ST~~''// D~U,Siu~/ <br />7. Substance to be mined S/GlCOit/ OY/.1J1= <br />8. Source of the applicant's Legai'right to enter and mine on tl~e land <br />affected. <br />ow:.rr~' ac l.4,~~ <br />(Please uLCach copy of ducumenC I;ivinl~, such lcl;al rit~,hC) <br />'- <br />~w..:..~~..~.. ~.~ ..i.. ..,....,,.. .. .. .... .... ... <br />~ -i, <br />~~~. <br />+ , <br /> <br /> <br />