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4_ <br /> <br />-2- <br /> <br />3. Address and Phone iVumoer of <br />Local Offices P o. Box 478, Farm;ngton, NM 87499 (505) 327-0291 <br />4. address and ?hone Number ,of <br />General Offices <br />5. Warne and Phone Plwnoer of Person <br />Staff ~lemoers Snould i:ontact <br />Samuel J. Musick- District Manager <br />6. Owner(s) of ~tecord of Affected Land <br />(surface area) (If more than 2, list below) <br />J. Pat & Lila N. <br />7. Owner(s) of Substance to b2 i~tined <br />(If more than 2, list below) <br />J. Pat & Lila N. Greer <br />d.. Source of Legal Right-To-Enter <br />(Indicate what type of proof is <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />Notarized letter. <br />9. Tyoe of Mine and Substance to be hlined <br />(Specify underyround, open pit, <br />quarry, eic. & suostance(s) to <br />oe mined) <br />open pit, gravel & road base material. <br />lU. General Location and Elevation <br />(Miles & direction from nearest <br />town & approximate site elevation) <br />1'~ Miles North of Redmesa Co.- 6600' elevation <br />11. county <br />LaPlata County <br />12. Acreage of Affected Lands <br />(Total surface acreage to be <br />included in permit) <br />acres <br />13. Application Fee (See applicaole <br />Rule to determine amount) <br />$335: 00 <br />