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~~: o <br />-2- <br />0 <br />9. Source of Legal Right-to-Enter <br /> (indicate what type of proof is I Notarized Statement <br /> included in EXHIBIT 0) See <br /> Rule 34-32-112(2)(d) <br />10. Type of Mine and Substance to Open nit sand and gravel <br /> be Mined (specify underground, <br /> open pit, quarry, etc. and <br /> substance(s) to be mined <br />11. General Location and Elevation 9 miles northeast of Colorado Springs ar <br /> (miles and direction from I1/2 mile southwest Black Forest <br /> nearest town and approximate 17,000 Feet <br /> site elevation <br />12. County E1 Paso <br />13a Total Surface Acreage to be <br />Included in Permit (Rule l.l(2)) <br />13b Total Acreage of Affected Lands <br />(Rule 2.11(14)) <br />80 Acres <br />14. Application Fee (see Rule 2 to <br /> determine amount, based on <br />permitted area) <br />0 <br />15. Present Land Use (i.e., <br />agricultural, industrial, etc.) <br />Open pit sand and gravel <br /> <br />16.~ <br />Surrounding Land Uses esi en is eve oomen , <br />Rangeland, Airport, Sand & Gravel, <br />17. Proposed Future Land Use (final <br />use after reclamation) <br />Rangeland <br />18. List Mining Operations Currently NONE <br /> In Violation of the Act. {See <br /> 34-32-120) <br />19. The Lands Herein Do Not Affect <br /> any of the lands Described in <br /> Section 115(4)(f) of the Mined <br /> Land Reclamation Act. (specify <br /> affirmation) <br />id <br />