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-2- <br />3. Address and Phone Number of 677 3rd Avenue <br />Local Offices Durango, CO 81301 247-2300 <br />4. Address and Phone Number of <br /> General Offices See above <br />5. Name and Phone Number of Person Patrick L. Cugnini <br /> Staff Members Should Contact 247-2300 <br />6. Owner(s) of Record of Affected Land <br /> Patrick L. Cugnini <br />(surface area) (If more than 2, list below) <br />7. Owner(s) of Substance to be Mined Patrick L. Cugnini <br /> (If more than 2, list below) <br />S. Source of Legal Right-To-Enter <br /> (Indicate what type of proof is <br /> included in EXHIBIT G -lease, copy of warranty Deed <br /> deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be Mined Open pit <br /> (Specify underground, open pit, Gravel <br /> quarry, etc. & substance(s) to <br /> be mined) <br />10. General Location and Elevation 11 milts SE of Durango, CO <br /> (Miles & direction from nearest 6500 ft. <br /> town & approximate site elevation) <br />11. County La Plata <br />12. Acreage of Affected Lands g <br />90 a <br />res <br /> (Total surface acreage to be , <br />c <br /> included in permit) <br />13. Application Fee (See applicable <br /> Rule to determine amount) $115.00 <br />