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<br />t 6. Owner(s) of re rnrd of affected land RIU~ ~~ ur t <br />' (5{lrfd Ce area) (If m021E than 2, Ii.St below) rn n~inir~ rwi~rr+n m., ~ DTNy <br />7. Gwner(s) of substance to be mined <br />(If more than 1, list below) {Zt~~c (-~ u.,-t' <br />8. Source of legal right to enter <br />' (Indicate what type of proof is NOTARIZED LETTER <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />9. Type of mine 6 substance to be mined <br />(Specify underground, open pit, SAND AND GRAVEL <br />' quarry, etc, s substance(s) to <br />be mined) <br />-1- <br />t IO. General location 6 elevation <br />(Miles S direction from nearest 16 Miles NW of Itiowa <br />town 6 approximate site elevation) <br /> <br />11. County <br />Elbert <br />1 <br /> <br />1 <br /> <br />1 <br /> <br /> <br /> <br />1 <br />11. Acreaoe of affected Iands <br />(Total surface acreage to be <br />included ir. perit) <br />13. Application fee (See applicable <br />RULE to determine amount) <br />14. Present land use (i.e., agri- <br />cultural, industrial, etc.) <br />9.9 <br />$0- <br />ba / d 5'• oD <br />Agriculture <br />15. Proposed future land use <br />(Goal of reclamation) <br />Agriculture <br />EXHIBIT A - Legal Aes cri ati on <br />The legal description must identify the affected Land and be wholly adequate for field <br />Iocation of the property. It can be in the form of metes s bounds survey or a descrip- <br />tion by reference to township, range, and section, to at Least the nearest quarter- <br />quarter section. Where applicable, the street address or lot number(s) may be used. <br />EXHIBIT B - Mining Plan <br />This can be a general discussion of the methods, equipment, phases or stages of the <br />operation and those areas of land affected by each. The plan should be correlated with <br />the map and should show where extraction will begin, and which direction, if any, it <br />will proceed. <br />t <br />