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-2- <br />6 <br />7 <br />Owner(s) of record of affected Iand <br />(surface area) (If more than 2, list below)John GentZ <br />Owner(s) of substance to be mined <br />(If more than 2, List below) <br />John Gentz <br />8. Source of Iega1 right to enter <br />(Indicate what type of proof is <br />included in EXHIBIT C - lease, <br />deed, notarized letter, etc.) <br />9. Type of mine 6 substance to be mined <br />(Specify underground, open pit, <br />quarry, etc. 6 substance(s) to <br />be mined) <br />Verbal Agreement - Letter attached <br />Open pit, gravel <br />10. General Iocation & elevation 6 miles North and 1 mile East of <br />(Miles 6 direction from nearest Kornmdn, Colorado <br />town & approximate site elevation)Elevation 3840 ft <br />11. County <br />Prowers <br />11. Acreage of affected lands <br />.(Total surface acreage to be g,2 dCreS <br />included in permit) <br />I3. Application fee (See applicable <br />RULE to determine amount) Not applicable to County Government <br />I4. Present Land use (i.e., agri- <br />cultural, industrial, etc.) Agricultural <br />15. Prooased future Zand use <br />(Goal of reclamation) Agricultural <br />EXHIBIT A - Le oal L~escri oti on <br />The legal description must identifu the affected Iand and be wholly adequate for field <br />location of the property. It can be in the form of antes s bounds survey or a descrip- <br />tion by reference to township, range, and section, to at Ieast the nearest quarter- <br />quarter section. Where applicable, the street address or Zot number(s) may be used. <br />EXHIBIT B - A+ining Plan <br />This can be a general discussion of the methods, eeuipment, phases or staees of the <br />operation and those areas of land arfected by each. The plan should be correlated with <br />the map and should show where extraction will begin, and which direction, i_° any, it <br />will proceed. <br />