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J .~ -: <br />-z- <br />• • <br />6. Owner(s) of record of affected land Westley Potts <br />(surface area) (If more than 2, list below) James Potts <br />7. .owner(s) of substance to be mined Westl ey Potts <br />(If more than 2, list below) <br />James Potts <br />8. Source of legal right to enter Unpatented Claims <br />(Indicate what type of proof is <br />incluaea in esarrarT c - Zease, COi~Y of county Pecords <br />deed, notarized letter, etc.) and Feder 1 records enclosed <br />9. Type of mine d substance to be mined Under ground Cold <br />(Specify underground, open pit, <br />quarry, etc. a substance(s) to <br />be mined) <br />10. General Iocation 6 elevation ~' ~ ty road a St of a4amcOs <br />16 L_ile~ <br />(Miles 6 direction from nearest <br />town 6 approximate site elevation) Colo. <br />elevation 9400 ft <br />11. County <br />12. Acreage of affected lands <br />(Total surface acreage to be <br />included in permit) <br />13. Application fee (See applicable <br />RULE to determine amount) <br />14. Present Land use (i.e., agri- <br />cultural, industrial, etc.) <br />15. Proposed future land use <br />(Goal of reclamation) <br />Montezuma <br />1/3 acre <br />;~?5,GG $lO.OG pcr ]acre <br />3 <br />b'orest Serv ice 1~_rid <br />~;T 7.211)g <br />(;rte z ing <br />EXHIBIT A - Lecal Description <br />The legal description must identify the affected Zand and be wholly adequate for field <br />Iocation of the property. Zt 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 Iot number(s) may be used. <br />EJfffIBIT H - 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 wiI1 begin, and which direction, if any, it <br />will proceed. <br />