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III ~~~^IIIII~~II III RF.G~~~~~~~i`GSG1 "I FO' <br />STATE OF COLORADO <br />Mined LanJ Iteelama[Son Board <br />Ucpar[men[ of t1a [ural Resources _ <br />1313 Sherman Strec[, Room 723 Lir1Y 2 Z i9r9 <br />Denver, CO 00203 <br />I ~} 5 <br />~, ~~ ~ ~o~ <br />Appllc:rt ion for Illn tng and <br />Reclamation Pc rm lt, Purs ua of <br />to C.F,. S. 1977[ 7L-}?-101 e[ ceq. <br />- ~1 H <br /> ~~I~~v~~~F/,ptd» ~rl 'I e~.~ae~~n ~ r[ iP iyc i `I- ~1 ~ ~ <br /> <br />1, <br />came of operations Colo. Dept. of Natu .. <br />I,1~•rC, <br /> (PS[, mine, or site name) <br />2. dame of applicant/opera [or Flatiron Materials Co. <br /> (i7ame [o be used on permit) <br />3. Address and phone number of S Riverside Dr. Fort Co l2ins CO <br /> local offices 482-8535 B~iS-Tt- <br />4. Address and phone number P.O. Bo>: 229, Boulder, CO °0306 <br /> of general offices 4N4-2151 <br />5. t7amc and phone number of person Margaret [•linter <br /> staff members should contact 444-2151 £St. 243 <br />6. Parent Corporation, Sf any <br /> (Include natie b address) ' <br />7. Ovn er (s) of record of affected Cottonwood Fa i`m5 <br /> land (surface area) <br /> (If more than 2, list in Exhibit P) <br />8. Ovner(s) of substance to be mined <br />(IE <br />or <br />tha <br />t i <br />2 <br />li <br />E <br />hibit P) COttonriood Farms <br /> x <br />m <br />e <br />n <br />, <br />s <br />n <br />9. Source of legal rigl,[ to enter <br />rri lnt+~,- <br /> (Indicate what type of proof 1s <br />included in Exl,ib it 0 - lease, decd, <br /> notarized le[ce r, c[c.) <br />10. Type of mine d substance to be mined <br />non pit <br /> (Specify underground, strip, open pit, <br />etc, and subs[-nce(s) to be mined) <br />Sand and Pr•avel <br /> <br />11. General location b elevation (fifles mi a SF of Ft. Collins <br /> b direction from nearest [ovn b <br />approxima [c site elevation) 4870 feet <br /> <br />12. County ~ 6arimer <br />13. Acreage of affected lands ~ <br />(Total su Cface acreage [o be <br />300.0 <br /> included in permit) --' <br />14. Application fee (See Rule 2 to $1700 <br /> determine amount) <br />15. Pres en[ land use <br />(i <br />e <br />ric ultural <br />ind <br />s[r ial <br />e <br />et <br />) agriculture <br /> . <br />g <br />., <br />, <br />u <br />, <br />c. <br />16. Surroundfng land uses agricultut=al Konen space, minin vy <br />_ sew~~ treatment <br />17. Proposed future land use <br /> (Coal of reclamation) <br />18. O[hcr mining permits d operations See attached <br /> in Colorado (Sec Rule 2 for gutdanc e) <br />19. The lands herein do not affect any of So affirmed <br /> the lands described in Sec [Son <br />1.56(9), (Specify affirmat Lo n) <br />