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S _ .. _. .. .. .. <br />3. Address and Phone Number of P. 0. Box 376 <br />Local Offices Rye, CO 81069 <br />489-3388 <br />4. Address and Phone Number of P. 0. Box 376 <br />General Offices Rye, CO 8]069 <br />489-3388 <br />5. Name and Pharte Number of Person <br />Staff Members Should Contact Mary E. Kirkland, President <br />489-3388 <br />6. Owners} of Record of Affected Land <br />(surface area) {If mare than 2, list below) James H. & Mary E. Kirkland <br />7. Owner(s) of Substance to be Mined <br />(If more than 2, list below) <br />James H. & Mary E. Kirkland <br />8. Source of Legal Right-Ta-Enter <br />(Indicate what type of proof is Letter <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be Mined <br />(Specify underground, open pit, <br />quarry, etc. b substance(s) to Open Pit <br />be mined) = Sand & Gravel <br />10.' General Location and Elevation <br />(Miles & direction from nearest Approximately 10 miles east of Pueblo <br />town & approximate site elevation) 1 mile south of Pueblo Memorial Airport <br />Elevation 4570 ft. <br />11. County <br />12. Acreage of Affected Lands <br />(Total surface acreage to be <br />included in permit) <br />Puebio County <br />9.9 acres <br />13. Application Fee (See applicable <br />Ru]e to determine amount) <br />$350.00 <br /> <br />