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Y . MINED 1 III III'lllll"II'll STIONAIRE <br />for limited impact ysy lar mine applications <br />1. Name of Company/Mine: Johnson Pit <br />2. Name/Address/Phone of Contact Person: Randy Schafer, Phillips County Planner <br />Phillips County Courthouse, 221 S. Interocean, Holyoke, CO 80734 PH 303-854-3778 <br />3. Location of Mine: Phillips County NW1/4 Sec. 32. T7N. R47W <br />(County. Tosmship, Range, Section to nearest quarter quarter; Exhibit A-iII.R appl <br />61/2 miles S, of Haxtun on Colo 59; 1 mile W, on <br />4. Nearest Town/General Location: Co. Rd. 16; 1/4 mile S. on Co. Rd. 3 to pit entrance, <br />5. Land Ownership (Circle) Private 2. BLM 3. USFS 4. Other <br />6. Present i.and Use: Creek Bottom <br />7. Proposed Final Land Use: Creek Bottom <br />8. Type of Operation: Surface 2. Underground <br />9. Hinerals being mined: Sand and Craval <br />10. Number and Description of Surface Acres Disturbed by Mining/not including roads <br />(Exhibit D-PQ.R): Total permit area will be 9.9 acres <br />11. Miles of roads to be constructed: Use access at creek <br />12. Life of :line (years): Indefinite <br />13. Description of Operation and Reclamation -- Additional sheets may be attached <br />(Exhibits B b E-MLR) <br />See attached Exhibits C & D and maps <br />14. 'Please enclose Maps of Project Operation, Distnrbonce Areas and Reclamation (E:<h <br />~.) This will expedite processing. Your cooperation is appreciated. <br />iS. Prepared By: Randy Schafer <br />