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1 • <br /> <br />.~~ -L <br />3./ Address and Phone Number of Ina C. Pope <br /> Local Offices 1947 Siloam Road South <br /> Pueblo, CO. 81004 Phone 784-3282 <br />4. Address and Phone Number of N/A <br /> General Offices <br />5. Name and Phone Number of Person Ina C. Pope <br /> Staff Members Should Contact 78l~-3282 <br />6. Owner(s) of Record of Affected Land <br /> (surface area) (If more than 2, list below) Ina C. Pope . <br />7. Owner(s) of Substance to be Mined <br /> (If more than 2, list below) Ina C. Pope <br />8. Source of Legal Right-To-Enter Omer operated. <br /> (Indicate what type of proof is <br /> Included in EXHIBIT G - lease, of current tax receipts includedin <br />Copies <br /> deed, notarized letter, etc.) . <br />E%HIBIT G <br />9. Type of Mine and Substance to be Mined <br /> (Specify underground, open pit, open pit. <br /> quarry, etc. & substance(s) to <br /> be mined) Gravel from decomposed granite. <br />10. General Location and Elevation <br /> (Miles & direction from nearest P%~ miles N`d of rye on Hiuay 165 <br /> town & ap ropy xim<yte site elevation) <br />~/ Elev. 8620 <br />11. County Pueblo <br />12. Acreage of Affected Lands 9.2 Acres. <br /> (Total surface acreage to be <br /> included in permit) ' <br />13. Application Fee (See applicable $117.00 d.~ <br /> Rule to determine amount) `°' a5.~~ <br /> <br />