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~ III IIIIIIIIIIIIIIII ~- <br />1. Name of operator As phalt Pavin g Co. Phone 279-6611 <br /> <br />2. Address of operator 14802 W. 44th Ave., Golden, Colorado 80401 <br />3. Legal description of affected land <br />SE; NE', E''-i SEz of Section 5, Township 3 South Range 70 West and SW; <br />NlJ', and W%, SW'„ Sec. 4, T. 3S, R.70W, Jefferson County, known as the <br />Ralston Dike Pit. <br />4. (a) Number of acres 5 Operating (b) Initial permit number 74-86 <br />5. Describe herein the operator's choice of reclamation in accordance with <br />the provisions of 92-13-6, CRS 1963, as amended. Details of this plan <br />shall be appropriate to the type of reclamation designated. <br />See Land Stabilization and Reclamation Agreement. <br />6. Enclose herewith an accurate map of the affected area. The map shall show: <br />(a) All pertinent details such as roads and access to the area and <br />reclamation accomplished; <br />(b) Section, township, range and county lines within the scope of the map; <br />(c) Access to the area from the nearest public road; <br />(d) A meridian; <br />(e) A title containing the name of the operator and his address; <br />(f) Scale of the map; <br />(g) .Jame of engineer or other person who prepared map; <br />(h) The date; <br />(i) The Township, range and county of the affected area. <br />7. I hereby certify that the foregoing and attached information is complete <br />and correct as determined from all available records. <br />Signed \' ~ ~~yv~Q, <br />Tit 1 e y.C.G~ /Led . <br />Date J w.Q.,.., ~, ~ 7'7 <br />