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-2- <br /> Wilbur F. Benham <br /> 3. Address and Phone Number of Pinewood Springs <br /> Local Offices Lyons, Colorado 80540 AC 303-823-6092 <br /> 4, address and Phone Number of Same as above. <br /> General Uffices <br /> 5. Naine and Phone Number of Person Same as above. <br /> 6taff Hemoers Snould Contact <br /> b. Owner(s) of Aecord of affected Land Same as above. <br /> (surface area) (If more than 2, list below) <br /> 7. Owner(s) of Suostance Lo be dined Same as above. <br /> (If more than 2, list below) <br /> d. Source of Legal Right-To-Enter PAID 1983 San Juan County Treasurers <br /> ( Indicate what type of proof is TAX Reciept, and notarized statement. <br /> included in EXHIBIT G - lease, <br /> deed, notarizea letter, etc. ) <br /> 9. Type of i,iine and Substance to oe t4ined0pen pit mine, with later Underground <br /> (Specify underground, open pit, operations as development occurs. <br /> quarry, etc. & suostance(s) to Gold, Silver, Lead, Zinc, Copper. <br /> ue mined) <br /> lcâ–º. general Location and Elevation Section 17 & 18, Township 42 N. Range 6 W . <br /> (Miles & direction from nearest Eureka Mining District, 7 miles north of <br /> tuwn & approximate site elevation) Silverton, Colorado above Animas Forks <br /> Road. Elevation: 11,600 feet. <br /> 11. county San Juan <br /> 12. Acreage of Affected Lands 8 (eight) <br /> (Total surface acreage to be <br /> included in permit) <br /> 13. Application Fee (See applicable $ 105.00 <br /> Rule to determine amount) <br /> i <br /> i <br />