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CARBONDALE TRAIN LOAD OUT <br /> ANaNa= TO MLRB COAL BASIN PERNUT 77-419 <br /> REGULAR (112) PFRKIT APPLICATION FORM <br /> ST�.TE OF COLORADO Application for Mining and <br /> Hired Land Reclamation Board Reclamation Permit. Pursuant <br /> Department of natural Resources to C.R.S. 1973, 34-32-101 at seq. <br /> 1313 Sherr..an Street, Room 723 <br /> Denver, CO 80203 <br /> TYPE OR PRINT CLEARLY <br /> 1. bane of operations Carbondale train load-out <br /> (Pit, mine, or site name) <br /> 2. }lame of applicant/operator Mid—Continent Resources Inc. <br /> (Name to be used on per--it) <br /> 3. Address and phone number of Box 158 Carbondale, <br /> local offices Phone 96.12581 <br /> 4. Address and phone number ----- <br /> of general offices <br /> Douglas W. Beaman <br /> � S. Haas and phone n=ber of person Dou 9 <br /> staff members should contact n <br /> 6. Parent Corporation, if any —'"----- <br /> (Include name S address) <br /> T=-Continent, Resources Inc. <br /> 7. Owner(a) of record of affected <br /> land (surfr_ce area) <br /> (If more than 2, list in Exhibit P) <br /> $. Ovaer(s) of substance to be mined ---~— <br /> (If more than 2, list in Exhibit P) <br /> 9. Source of legal right to enter _p <br /> (Indicate what type of proof is <br /> included in Exhibit 0 - lease, deed, <br /> notarized letter, etc.) <br /> 10. Type of nine S substance to be mined Train jndt-,iaj- <br /> (Specify underground, strip, open pit, <br /> etc. and substance(s) to be mined) <br /> 11. General location S elevation (Miles 1.5 Mlles East of Carbondale <br /> direction from nearest town S <br /> approximate site elevation) <br /> 12. County Garfield <br /> 13. Aereege of affected lands 27 <br /> (Total surface acreage to be <br /> included in per=10' <br /> 14. Application fee (See Rule 2 to <br /> determine amount) <br /> 15. Present land use Industrial C n P_ Qc; <br /> (i.e., agricultural, industrial, etc.) <br /> 16. Surrounding land uses Ac(ricultural <br /> 17. Proposed future land use <br /> (Coal of reclamation) <br /> 18. Other mining permits b operaticns i�rblehead LLTTlestone 77-420 <br /> in Colorado (See Rule 2 for guidance) P1tKli1 Iron 1'1ine 78-21 <br /> 19. The landa herein do not affect any of . <br /> the lands described in Section <br /> 1.56(9) , (Specifv affirmation) <br /> ' 1 . <br />