PERMFILE102647

• Permit No: M1985091
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

,~:
Ricnaro D. Lamm
Governor

DEPARTMENT OF NATURAL RESOURCES "•• -'"-'ggg""" ~"
D. !Lome Gxsc ce. Erec uiive Director
MINED LAND RECLAMATION DIVISION
DAVID C. SHE~70N Director ~_
REGULAR (112) PERPI7T APPLICATION
FORM
State of Colorado ~ A,wpplication for Mining and
Department of Natural Resources Reclamation Permit, Pursuant to
h1INED LAND RECLAt4ATION BOARD AND DIVISION 34-32-101 et se ., C.R.S. 1973,
1313 Sherman Street, Room 423 as amended
Denver, Colorado 80203 ( 303) 866-3567 '' ht ~ - - :.e.r„t;gg l~ln, Q'C
(Type or Print Clearly)

I
Na
ati
f O Salida Pit
. me o
per
on
(pit, mine or site name) I
_
2. ?lame of Applicznt/Operator County of Chaffee
(name to be used on permit)
Cit of Salida
3. Address and Phone Numi~er of P. 0. Box 699, Salida, Colorado 81X1
Local office [phone]
4. Address and Phone Number of same as next above
General Office
5. Name and Phone Number of Person Harold Lewis -
Staff Members Should Contact 539-221 -
6. Parent Corporation, I.f Any none
(include name znd add.cess)
7, Owner(s) of Record of Affected County of Chaffee City of Salida
Land (surface area)
(if
th
~
li
t i
more
an tc.
o,
s
n
EXHIBIT P)
8, Owner(s) of Substance to be sate as next ?hove
hlined (if more thin two, list
in EXiiIBIT P)
9, Source of Legal Right to Enter •^u it ClRi~^. Deep
(indicate what type of proof is
cluded i
EXHIBIT O) $ee
i
n
n
39-32-112(2) (d)
0. Type of Mine and Substance to Coen Fit
be Mined (specify underground,
uarr
open
it
etc
and Sand %< Gravel
, q
y,
.
p
substance(s) to be mined)
423 Centennial Building, 1313 Sherman Street Denver, Colorado 80203 Tel. [phone]