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-z- <br /> Wilbur F. Benham <br />3. Address and Phune ivumper of Pinewood Springs <br /> Local Offices Lyons, Colorado 80540 AC 303-823-6092 <br />4. Address and Phone Number of Same as above. <br /> General Offices <br />5. Name and Phone fVUmoer of Person Same as above, <br /> Staff i~lemoers Snould Contact <br />6. Ownar(s) of Record of Affected Land Same as above. <br /> (surface area) (If more than L, list below) <br />7. Owner(s) of Substance to be iNined Same as above, <br /> (If mu re than 2, list below) <br />i3. Source of Legal Right-To-Enter PAID 1983 San Juan County Treasurers <br /> (Indicate what type of proof is TAX Reciept, and notarized statement. <br /> included in EXHIBIT G - lease, <br /> aced, notarized letter, etc.) <br />9. Type of i~iine and Substance to be f4inedOpen pit mine, with later Underground <br /> (Specify underyround, open pit, operations as development occurs, <br /> quarry, etc. & substance(s) to Gold, Silver, Lead, Zinc, Copper. <br /> ue mined) <br />lU. General Location and Elevation Section 17 & 18, Township 42 N, Range 6 W, <br /> (~~liles & direction from nearest Eureka Mining District, 7 miles north of <br /> tuwn & approximate site elevation) Silverton, Colorado above Animas Forks <br /> Road. Elevation: 11,600 feet, <br />11. county San Juan i <br />12. Acreage of Affected Lands 8 (eight) <br /> (Total surface acreage to be <br /> included in permit) <br />13, Application Fee (See applicable $ 105.00 <br />Rule to detennine amount) <br />