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• • <br />-2- <br />3. Address and Phone Number of Rt, 2, Box 222 <br />Local Offices Trinidad, Colo, 91092 <br />(303) 846-3570 <br />4. Address and Phone Number of game as 3 <br />General Offices <br />5. Name and Phone Number of Person Harold A. Winter <br />Staff Members Should Contact (303) 846-3570 <br />6. Owner(s) of Record of Affected Land Harold A, Winter <br />(surface area) (If more than 2, list below) <br />7. Owner(s) of Substance to be Mined <br />(If more than 2, list below) Private Ownership <br />Harold A, Winter <br />8. Source of Legal Right-To-Enter Private Owners hl p, Harold A, Winter <br />(Indicate what type of proof is Open Pit <br />included in EXHIBIT G - lease, Gravel to be mined <br />deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be Mined Open Plt <br />(Specify underground, open pit, Gravel to he mined <br />quarry, etc. & substance(s) to <br />be mined) <br />10. General Location and Elevation Pit Approximately 10 miles north of <br />(Miles & direction from nearest Trinidad, Co. <br />town & approximate site elevation) 6100' elevation <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 />Las Animas <br />9.9 Acres or less <br />X25.00 plus X10.00 per acre <br />