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<br /> <br />2 <br />6. Correspondence Information <br /> APPLICANT/OPERATOR (Name, Address and Phone of Name to be used on Permit) <br /> Individual's Name: <br /> Company Name: <br /> Street: <br /> City: <br /> State: <br /> Telephone: ( ) <br /> PERMITTING CONTACT (If different from Applicant/Operator above) <br /> Individual's Name: <br /> Company Name: <br /> Street: <br /> City: <br /> State: <br /> Telephone: ( ) <br /> INSPECTION CONTACT (If different from Applicant/Operator above) <br /> Individual's Name: <br /> Company Name: <br /> Street: <br /> City: <br /> State: <br /> Telephone: ( ) <br />7. Location Information: The center of the operation lies in - <br /> County: <br /> USGS Quadrangle: <br /> Principal Meridian (check one): 6th (Colorado) 10th (New Mexico) Ute <br /> Township (Write number and check direction): North South <br /> Range (Write number and check direction): East West <br /> Section: Quarter Section (Check one): NE NW SE SW <br /> Quarter-Quarter Section (Check one): NE NW SE SW <br /> Longitude (Write number): Degrees (102-110) Minutes (0-60) <br /> . Seconds (0.00-60.0) <br /> Latitude (Write number): Degrees (37-41) Minutes (0-60) <br /> . Seconds (0.00-60.0) <br /> <br />