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-2- <br /> <br /> <br /> 3. Address and Phone iVumoer of <br />Local Offices 2910 Orchard Ave <br />Grand Junction Colorado 81504 <br /> •242-8134 <br /> 4. Address and ?hone Number of <br />' C~neral Offices As Above <br /> <br />5. Albert C. Ruckman WESTERN COLORADO TESTING <br />iVa~ne and Phone Number of Person 551 25'~ Road <br />staff i~lemoers Should (:ontact Grand Junction 81505 <br /> jai-~~nn <br />' 6. Owner(s) of ~tecord of Affected <br />(surface area) (If mare than land Leon B. Parkerson <br />2, list below) <br /> <br />1 <br /> 7. Owner(s) Of Substance t0 be Mi ned Leon Q. Parkerson <br />' (If more than 2, list below) <br /> d. Source of Legal Right-To-Enter <br />' (Indicate what type of proof is Deed <br /> included in EXHIBIT G - lease, <br /> deed, notarizes letter, etc.) <br /> <br />' <br /> 9. Tyoe of Mine and Substance to be tdi ned <br /> (Specify underyround, open pit, open Pit Gravel <br />' quarry, etc. & suostance(s) to <br /> oe mined) <br /> <br />' <br /> lU. General Location and Elevation 6 miles East of Grand Junction <br /> (Miles b direction from nearest Elevation 4700 Feet <br />' town & approximate site elevation) <br />' ~ 11. Uounty Mesa <br /> <br /> 12. Acreage of Affected Lands <br />' (Tctal surface acreage to be g.9 Acres <br /> included in permit) . <br />' 13 A <br />li <br />ble <br />li <br />i <br />f <br />S <br /> . pp <br />ca <br />on <br />ee app <br />cat <br />ee ( <br /> Mule to det2nnine amount) $25.00 + $10.00/Ac = $125.00 <br /> <br /> <br />1 <br />