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-_ <br />6. Owner(s) of record of affected Zand <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) <br />8. Source of Legal right to enter <br />(Indicate what type of proof is <br />included in EXHIBIT G - lease, <br />deed, notarized Zetter, etc.) <br />9. Type of mine s substance to be mined <br />(Specify underground, open pit, <br />quarry, etc. & substance(s) to <br />be mined) <br />Open Pit Sand & Gravel Mine. <br />Io. General location & elevation 12.'] miles north of Genoa, Colo. <br />(Miles & direction from nearest on St. H1Way #109 <br />town s approximate site elevation) <br />u. county Lincoln <br />I2. Acreage of affected Zands <br />(Total surface acreage to be ~z -- f i- <br />o--~~v <br />included in permit) ~, 17 acr QS <br />~+,. ~,. ~. ~lNISS <br />13. Application fee (See applicable <br />RULE to determine amount) <br />14. Present land use (i.e., agri- <br />cultural, industrial, etc.) Agriculture <br />15. Proposed future Land use <br />(Goal of reclamation) Same <br />EXHIBIT A - Legal Description <br />The Legal description must identify the affected Zand and be wholly adequate for field <br />location of the property. It can be in the form of metes & bounds survey or a descrip- <br />tion by reference to township, range, and section, to at least the ::earest gvarter- <br />quarter section. where applicable, the street address or Lot number(s) may be used. <br />EXHIBIT B - Mining 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 />Ellis Allen <br />Same <br />/~ c ~~~~ <br />