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~ /. o <br />Address and Phone Number of <br />General Offices <br />-2 <br />3. Address and Phone Number of <br />Local Offices <br />Suite 205, 1430 Florida Avenue <br />Longmont, Colorado 80501 (303) 651-2985 <br />4 <br />5. <br />6 <br />Name and Phone Number of Person <br />Staff Members Should Contact <br /> <br />Mark A. Steen (303) 651-2985 <br />(702) 358-0030 <br />Owner(s) of Record of Affected Land Gold Hill Mining Company <br />(surface area) (If more than 2, list below) p O Box 1523, Longmont, CO 8O5n1 <br />7. Owner(s) of Substance to be Mined Gold Hill Mining Company <br />(If more than 2, list below) p,0. Box 1523, Longmont, CO 80501 <br />8. Source of Legal Right-To-Enter <br />(Indicate what type of proof is <br />included in EXHIBIT G - tease, <br />deed, notarized letter, etc.) Notarized Affidavit <br />9. Type of Mine and Substance to be Mined Underground gold and silver mines, mine <br />(Specify underground, open pit, dump sorting operations, and a. gravity <br />quarry, etc. & substance(s) to and flotation concentration mill. <br />be mined) <br />10. General Location and Elevation <br />(Miles & direction from nearest <br />town & approximate site elevation) <br />One-half mile east of the town of <br />Gold Hill; between 6075 and 8590 <br />feet elevation <br />11. County <br />Boulder County <br />12. Acreage of Affected Lands 2.261 Acres (Previously Permitted) <br />(Total Surface acreage to be 5.364 Acres (Subject to this Application) <br />included in permit) 7.625 Total Acreage of Affected Lands <br />13. Application fee (See applicable <br />Rule to determine amount) <br />Same as above; Mailing Address: <br />P.O. Box 1523, Longmont, CO 80501 <br />$100.00 <br />