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r ~ • . <br /> -2- <br />3. Address and Phone Number of <br /> Local Offices 3700 West 69th Place <br /> P 0 Box 846--Westminster, CO 800 0 429-3357 <br />4. Address and Phone Number of 3700 West 69th Place <br /> General Offices P o Box 846--Westminster, Co 8003 429-3357 <br />5. Name and Phone Number of Person Bill Gorton or Douglas Bachli <br /> Staff Members Should Contact 429-3357 <br />6. Owner(s) of Record of Affected Land Rocky Road Investment <br /> (surface area) (If more than 2, list below) <br />1. Owner(s) of Substance to be Mined <br /> (If more than 2, list below) Rocky Road Investment <br />8. Source of Legal Right-To-Enter <br /> (Indicate what type of proof is Deed <br /> included in EXHIBIT G - lease, <br /> deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be Mined <br /> (Specify underground, open pit, Stratified Flagstone; Open Pit. <br /> quarry, etc. & substance(s) to <br /> be mined) <br />10. General Location and Elevation Approx. 4 miles West of Loveland o Hiway 34, and <br /> (Miles & direction from nearest 1 1/2 miles North on the Masonvill Road. The quart <br /> town & approximate Site elevation) sets approx. 5500 N. <br />11. County Ie.rimer <br />12. Acreage of Affected Lands 2 Acres <br /> (Total surface acreage to be <br /> included in permit) <br />13. Application Fee (See applicable <br />0 ~ S'v U <br /> Rule to determine amount) <br /> <br />