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:i • . <br />-2- <br />3. Address and Phone Number of <br />Local Offices <br />4. Address and Phone Number of <br />General Offices <br />P. 0. Box 1029, Grand Junction, Colorado 81502 <br />(303) 245-3700 <br />P. 0. Box 1029, Grand Junction, Colorado 81502 <br />(303) 245-3700 <br />5 <br />6 <br />Name and Phone Number of Person N. B. Flaubold <br />Staff Members Should Contact (303) 245-3700 <br />Owner(s) of Record of Affected Land Bureau of Land hlanagement <br />(surface area) (If more than 2, list below) <br />7. Owner(s) of Substance to be Mined Robert F. Schuler <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 letter, etc.) <br />9. Type of Mine and Substance to be Mined <br />(Specify underground, open pit, <br />quarry, etc. & substance(s) to <br />be mined) <br />Lease <br />Underground Uranium-Vanadium <br />10. General Location and Elevation <br />(Miles & direction from nearest. <br />town & approximate site elevation) <br />11. County <br />12. Acreage of Affected Lands <br />(Total surface acreage to be <br />included in permit) <br />5 Miles NE of Slick Rock, CO <br />5,800 Feet <br />San Miguel <br />9.9 <br />13. Application Fee (See applicable <br />Rule to determine amount) <br />$125.00 <br />