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<br /> _2_ <br />3. Address and Phone iVumoer of 13th h Grie <br /> LOGdI Offices Pueblo, Colorado 81001 1'li 5 2-3278 <br />4. Address and Phone Number of <br />same as 1, 3 <br />b <br />~ <br /> a <br />ove. <br />, <br />General Uffices ~„ <br />- p. <br />5. Name and Phone Numoer of Person Lloyd v. xarnhart `~~ 6 ~ y Y <br /> staff Plemoers Should Contact 543-1324 <br /> Uwner(s.) of Record of Affected Land lidmunason 1~'amily Revocabl Trust <br /> (surface area) (If more than 2, list below) <br />7. Uwner(s) of Substance co be Mined <br /> (If more than 2, list below) Eclmundson gamily Revocable Tr st <br />B. Source of Legal Right-To-Enter totarized letter <br /> (Indicate what type of proof is <br /> included in EXHIBIT G - lease, <br /> <br />I deed, notarized letter, etc.) <br />y. Type of i•line and Substance Co be Mined <br /> (Specify underyround, open pit, <br /> quarry, etc. ~ substance(s) to <br />Open pit clay mine. <br /> ue mined) <br />lU. General Location and Elevation npt,roximately 3 miles South of C darcaood. <br /> (Miles & direction from nearest <br /> town & approximate site elevation) elevation 54G0 <br />11, t;ounty Pueblo <br />12. Acreage of Affected Lands <br /> (Total surface acreage to be 9.3 acres <br /> included in permit) <br />13. Hppllcation Fee (See applicable <br /> Rule to Bete rnrine amount) <br /> $125.00 <br /> <br />~~ <br />