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<br />-2- <br />3. <br />4 <br />5 <br />r~ <br />u <br />Address and Phone Number of P.O.Box 773593, Steamboat Springs, CO 80477 <br />Local Offices (303) 879 -08sl <br />Address and Phone Number of <br />General Offices SAh1E <br />Name and Phone Number of Person Jim Douglas, Assistant County Engineer <br />Staff Members Should Contact 879-0831 <br />6. Owner(s) of Record of Affected Land <br />(surface area) (If more than 2, list below) H.lV. Hooker and Avis Funk <br />7. Owner(s) or Substance to be Mined Hooker F, Funk <br />(If more than 2, list below) <br />8. Source of Legal Right-To-Enter Lease <br />(Indicate what type of proof is attached in original submittal for addendum <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be Mined Open Pit Sand y Gravel operation <br />(Specify underground, open pit, <br />quarry, etc. & substance(s) to <br />be mined) <br />10. General Location and Elevation 4 miles East of Flayden, Colorado on U.S. <br />(Miles & direction from nearest Higlii~~ay 40. Elevation= 6400 <br />town & approximate site elevation) <br />11. County Routt <br />12. Acreage of Affected Lands g,g <br />(Total surface acreage to be <br />included in permit) <br />13. Application Fee (See applicable v/A <br />Rule to determine amount) <br />