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-2- <br /> 3. Address and Phone Number of P. 0. Box 700 <br /> Local Offices <br /> Nucla, Colorado 81424 303/864-7347 <br /> 4. Address and Phone Number of <br /> General Offices 9305 West Alameda Parkway <br /> Lakewood, Colorado 80226 303/232-8218 <br /> 5. Name and Phone Number of Person <br /> Staff Members Should Contact William Hester - Local Office `- <br /> 6. Owner(s) of Record of Affected Land <br /> (surface area) (If more than 2, list below) U.S. Department of Energy <br /> 7. Owner(s) of Substance to be Mined <br /> (If more than 2, list below) <br /> U.S. Department of Energy <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. ) Lease No. AT(05-1)-ML-60.8-C-SR-11 <br /> 9. Type of Mine and Substance to be Mined <br /> (Specify underground, open pit, <br /> quarry, etc. & substance(s) to <br /> be mined) Underground mine for uranium and vanadium <br /> 10. General Location and Elevation <br /> (Miles & direction from nearest <br /> town & approximate site elevation) <br /> Approx. 9 miles west of Slickrock - Elevation 7000' <br /> 11 . County San Miguel <br /> 12. Acreage of Affected Lands <br /> (Total surface acreage to be <br /> included in permit) 2 acres <br /> 13. Application Fee (See applicable <br /> Rule to determine amount) $45.00 <br />