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<br />5. Correspondance Information <br />-2- <br />APPLICANT/OPERATOR (name, address, and phone of name to be used on permit) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />6. Location Information <br />PERMITTING CONTACT (if different from applicant/operator above) <br />Individual's Name <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />David Stout <br />Wvomina F1~e1 Conaaanv <br />120 5 a econd la P O 13rnc 1559fi <br />epnone: <br />Same as Flbove <br />Z p Code <br />e ep one: <br />INSPECTION CONTACT (if different from applicant operator above) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />• <br />Glenn Murdock <br />clp ~oae 80480 <br />723-A449 <br />The center of the operation lies in - <br />County: Jackson <br />USGS Qua rangy gee: Johnn Moore Nbuntain <br />Principal Meridian c ec one): X 6th (Colorado), _ 10th (New Mexico), <br />Ute <br />TownsTiip (write number and check direction): 0 8 X North South <br />Range (write number and check direction): 7 8 -East X Est <br />Quarter Section (check one): NE, NW, ~E, SSW Sectian 2 <br />Quarter-Quarter Section (check one): NE,- NW, SE, SSW Section 2 <br />Longitude (write number): 1 0 6 Degrees-(1 02-1T0) 0 7 Minutes (0-60) <br />0 0. 0 Seconds (00.0-60.OT <br />Latitude (write number): _ q p Degrees (37-41) 4 1 Minutes (0-60) <br />15.0 0 Seconds (00.0-6~OT' <br />General Description (miles and~3irection from nearest town and approximate <br />elevation): 12 miles east of Walden, Colorado, 8200 to 8400 MSL <br />(Rcvised 04/13/90) <br />M <br />