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The foregoing instrument was acknowledged before me this day of,, by as of. <br /> Notary Public <br /> My Commission expires: <br /> SIGNATURES MUST BE IN BLUE INK <br /> NOTE TO COMMENTORS/OBJECTORS: <br /> It is likely there will be additions, changes, and deletions to this document prior to final decision by the <br /> Office. Therefore, if you have any comments or concerns you must contact the applicant or the Office <br /> prior to the decision date so that you will know what changes may have been made to the application <br /> document. <br /> The Office is not allowed to consider comments, unless they are written, and received prior to the end of <br /> the public comment period. You should contact the applicant for the final date of the public comment <br /> period. <br /> If you have questions about the Mined Land Reclamation Board and Office review and decision or <br /> appeals process,you may contact the Office at(303)866-3567. <br /> Please note that under the provisions of C.R.S. 34-32-101 et sfa. Comments related to noise, truck traffic, hours <br /> of operation, visual impacts, effects on property values and other social or economic concerns are issues not <br /> subject to this Office' jurisdiction. These subjects, and similar ones, are typically addressed by your local <br /> governments, rather than the Division of Reclamation, Mining, and Safety or the Mined Land Reclamation <br /> Board. <br /> EXHIBIT A-Legal Description and Location Map <br /> Rule 6.3.1 (Starts on Page 134 of the Rules) <br /> 1) Please provide the legal location description of the Mine: <br /> a. COUNTY: Teller <br /> b. PRINCIPAL MERIDIAN (check one): 6th (Colorado) <br /> c. SECTION (write number): 2 <br /> d. TOWNSHIP(write number and check direction): T 12 South e. RANGE (write number and <br /> check direction): R 71 West <br /> f. QUARTER SECTION (check one): SW <br /> g. QUARTER/QUARTER SECTION (check one):-SWSE h. Approximate elevation(write <br /> number): _8,600_Feet <br /> i. Direction and miles to nearest town/city_6 miles SW to Lake George, CO <br /> Additional Legal Description: <br /> AT-fa• Tlaonrirtin» ol—ll t%. t... rn_ _1 0nn4in» to of Jana+ flea »ao + — -tar m.nrfnr oantin- A <br />