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~ 7/7d ~ REGULAR (I12) Pc~;.~T .aooLICA~~.I F':?. "' III IIIIIIIIIIIIIIII <br />per.-.~.~....-u -ico <br />I, ~ F.X ~ <br />State of Colorado Application for Mining and <br />Gepartment of Natural Resources Reclamation Permit, Pursuant <br />MINED LAND RECLAMATION BOARD to CRS 1973, 34-32-101 et seq <br />1313 Sherman Street, Room 723 <br />Denver, CO 80203 (303)839-3507 ~ (~O ~ ~}/~ <br />f ~'I ~ 4 ~( <br />(Type or Print Clearly) <br />1. Name of operations MEKELBURG PIT <br /> (Pit, mine or site name) <br />2. Name of applicant/operator <br />(Na <br />d on <br />b <br />it) <br />t PUMA COUNTY <br /> me <br />perm <br />o <br />e use <br />3. Address and phone number of <br />local <br />ffices <br />~ 70 S _ <br /> o wRAY, co 8o75g 33t-578 <br />4. Address and phone number <br />of general offices Yi1MA COUNTY CONIMZSSIONERS - COURTISOUSE <br /> WRAY Co 807 8 2- 6 <br />5. Name and phone number'of person <br />f <br />b <br />h <br />ld <br />ILIROLD BLAZER <br /> sta <br />f mem <br />ers s <br />ou <br />contact 33t-578 <br />b. Parent Corporation, if any <br />(Include name b address) <br />n/a <br /> <br />7. Owner(s) of record of affected <br />land (surface area) <br />MILTON MEf~I.BURG <br /> (If more than 2, list in EXHIBIT P) <br />8. Cwner(s) of substance to be mined <br />list in EXHIBIT P) <br />(If <br />r <br />h <br />2 <br /> an <br />, <br />mo <br />e t <br />9. Source of legal right to enter <br />(Indicate what type of proof is <br />~BAI' <br /> included in EXHIBIT 0) -- NOTE: See <br />R'JLE 9.1(3), Rules b Rens, p. ~6. <br />10. Type of mine & substance to be mined <br />(Specify underground, strip, open pi[. <br />OPEN PIT <br /> etc. aad substance(s) tc he nine d;. <br />ROAD GRAVEL <br />ll. General location E elevation (miles E ell~atiow appz. b0OO <br />76 N. 1. W.. 4_rL Qf Yuua._9olorado <br /> direction from nearest town E dpProxi <br />mate site elevation) <br />from tle iwteraee#oa of Er-7 34 k 59 <br />12. County <br />TRIM <br />13. acreage of affected lands (Total <br />s~rfa-e acreac~ -., cr =1~_ded 'n <br />' 10 ACRES - Pro s!d <br />~ <br /> 1 for definition). <br />permit (See RULE <br />5.0 aerls ai rplwt <br />14. Application fee (See RULE 2 to <br />determine amount) <br />n/a <br />15. Present land use (i.e., agricuVtural, <br />industrial, etc.) <br /> <br />ABRI. <br />16. Surrounding land uses <br />AGRZ. <br />17. Proposed future land use (Final use <br /> after reclamation) <br />18. Unpermitted mining operations (See <br />RULE 2 <br />11(18) <br />n/a <br /> . <br />(over) <br />