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<br />• • i <br /> -2- <br />3. Address and Phone Number of <br /> Local Offices F. C~. box 1773 247-13 3 <br />4. Address and Phone Number of <br /> I. ~, box 1773 247-1' <br />General Offices 3 <br />5. Name and Phone Number of Person John llillon <br /> Staff Members Should Contact <br />6. Owner(s) of Record of Affected Land „ohn :.illon <br /> (surface area) (If more than 2, list below) <br />7. Owner(s) of Substance to be Mined <br /> (If more than 2, list below) John Dillon <br />B. Source of Legal Right-To-Enter <br /> (Indicate what type of proof is Attached letter <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, Sand ( Above low wat r line <br /> quarry, etc. & substance(s) to <br /> be mined) <br />10. General Location and Elevation Approximate Elevation 6,550 <br /> (Miles & direction from nearest located 2 diles worth on H ~ghway 550 <br /> town & approximate site elevation) <br />11. County la_ Fl~ta - <br />12. Acreage of Affected Lands <br /> (Total surface acreage to be kpproximately 6 <br /> included in permit) <br />13. Application Fee (See applicable i8` 00 <br /> Rule to determine amount) <br />I <br /> <br />