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'T <br /> <br /> <br /> <br /> <br /> <br />1 <br /> <br />-z- <br />6. Owner(s) of record of affected Land Mrs. Vivian Thornburg <br /> (surface area) (If more than 2, Zist below) <br />7. Owner(s) of substance to be mined <br /> (If more than 2, list below) Mrs. Vivian Thornburg <br />8. Source of legal right to enter <br /> (Indicate what type of proof is Tdx Receipt <br /> included in EXHIBIT G - lease, <br /> deed, notarized Letter, etc.) <br />9. Type of mine 6 substance to be mined Dry alluvial, open pit sand=.dnd <br /> (Specify underground, open pit, Gra vel <br /> quarry, etc. S substance(s) to <br /> be mined) <br />10. General Iocation 6 elevation Two mi]e5 Southeast of Bennett, CO <br /> (Miles & direction from nearest at elevation 5410 feet <br /> town s approximate site elevation) <br />' Il. county <br /> <br /> <br />1 <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 />19. Present land use (i.e., agri- <br />cultural, industrial, etc.) <br />Adams County <br />9 acres <br />$125.00 <br />Abandoned sand and gravel pit <br />surrounded by agriculture <br />' 15. Proposed future land use <br />(Goal of reclamation) Native pasture and/or feed lot <br />' EXHIBIT A - Legal Descri oti on <br />The legal description must identify the affected land and be wholly adequate for field <br />' location of the property. It 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 lot number(s) may be used. <br />' EXHIBIT B - 19ining 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 will begin, and which direction, if any, it <br />will proceed. <br />1 <br />1 <br />