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-2- <br /> 9. Source of Legal Right-to-Enter Notarized Statement <br /> (indicate what type of proof is <br /> included in EXHIBIT 0) See <br /> Rule 34-32-112(2)(d) I <br /> 10. Type of Mine and Substance to Sand and gravel <br /> be Mined (specify underground, <br /> open pit, quarry, etc. and I <br /> substance(s) to be mined I <br /> 11. General Location and Elevation One mile South of Colorado HLghway 66 off <br /> (miles and direction from I Weld fnunty RnAA 13 <br /> nearest town and approximate I <br /> site elevation Elevation = 4800 feet. <br /> 12. County Weld ;. <br /> 13a Total Surface Acrea a to be '� <br /> Included in Permit ?Rule 1.1 (2)) 155 res plu C149 acres QC++^ <br /> 13b Total Acreage of Affected Lands 155 acres plus 129 = 284 acres <br /> (Rule 2.11(14)) ✓ <br /> 14. Application Fee (see Rule 2 to $1 ,555.00 <br /> determine amount, based on <br /> permitted area) <br /> 15. Present Land Use (i.e., Agricultural <br /> agricultural, industrial, etc.) <br /> 16. Surrounding Land Uses Sand and gravel mining agricultural <br /> 17. Proposed Future Land Use (final Agricultural <br /> use after reclamation) <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 AFFIRMATION <br /> any of the Lands Described in <br /> Section 115(4)(f) of the Mined <br /> Land Reclamation Act. (specify <br /> affirmation) <br />