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REGULAR (112) PERMIT APPLICATION AMENDMENT <br /> Permit #77-184, Issued 10-30-78 <br /> ' STATE OF COLORADO pa fir plication for Mining and <br /> Mined Land Reclamation B C eclamation Permit, pursuant <br /> ' Department of Natural Resources 1 to C. R.S. 1973, 34-32-101 et seg. 1 <br /> 1313 Sherman Street, Room 723 J UN s <br /> Denver, Colorado 80203 MINED LAND <br /> ' 1. Name of operation RECLA . Collins Pit, Permit #77-184 <br /> (Pit name) <br /> 2. Name of applicant/operator Cowan Concrete Products, Inc. , dba <br /> ' Mobile Premix Inc <br /> 3. Address/phone - local office P. 0. Box 5183 T.A. , Denver, CO <br /> (303) 534-3165 <br /> 4. Address/phone - general office Same <br /> 5. Name and phone - person staff (303) 534-3165 - John F. Hickman, <br /> members should contact Mar. Land & Resources <br /> ' 6. Parent corporation, if applicable - Western-Mobile, Inc. <br /> name and address <br /> 7. Owner(s) of record of affected Thomas E. Jr. and Alice M. Nix <br /> lands - surface area and Calvin C. and Lois M. Johnson <br /> 8. Owner(s) of substance to be mined Same as 7 <br /> 9. Source of legal right to enter Option to Purchase and Agreement <br /> 10. Type of mine and substance to be mined I Sand and gravel - barrow <br /> 11. General location and elevation (miles City of Ft. Collins, 4916 MSL, <br /> and direction from nearest town and ( 1/4 mile west of intersection of <br /> site elevation) Timberline Rd. and Cache La Poudre <br /> ' River <br /> 12. County Larimer County, Colorado <br /> 13. Acreage of affected lands As per this Amendment +/- 7 acres <br /> 14. Application fee $77.50 <br /> 15. Present land use Agriculture <br /> 16. Surrounding land uses Open space/city trail <br /> 2-3 residences <br /> ' Agriculture - zoned industrial <br /> 17. Proposed future land use I Wildlife habitat/industrial <br /> 18. Other mining permits and operations See Exhibit N <br /> in Colorado 1 <br /> 19. Lands herein do not affect any lands True <br /> described in Sec. 1.56(9) f <br /> 20. Exhibits included A through J and L through P <br /> ' Map exhibits included I C and F <br /> 21. Notice requirements (See Appendix) <br /> 22. Additional information I (See Appendix) <br /> ' I hereby declare that all information presented in this application is true and <br /> ' correct. Q <br /> Dated: I �C> By: <br /> ' Title: CiG� <br /> (legally authorized to <br /> ' bind the operator) <br /> -1- <br />