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<br />-z- <br />3. Address and Phone Number of <br />Local Offices -~^ ~~7a'iG <br />201 Cherry, Craig, Co, 8162$ (P.O. Boz 1093, Craig, Co, 81626) (303}_824-9281 <br />4. Address and Phone Number of <br />General Offices <br />Seine as above. <br />5. Name and Phone Number of Person <br />Staff Members Should Contact <br />Ralph E. Knez or Frank Levkulich (303)-824-9281 - p'~ y ._ 7~r/ ~ -~-I~yl, <br />6. Owner(s) of Record of Affected Land <br />(surface area) (If more than Z, list below) <br />Leon and/or Mar3ean Fedinec <br />7. Owner(s) of Substance to be Mined <br />(If more than 2, list below) <br />Leon and/or Mar3ean Fedinec <br />Source of Legal Right-To-Enter <br />(Indicate what type of proof is <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) <br />Type of Mine and Substance to be Mined <br />(Specify underground, open pit, <br />quarry, etc. & substance(s) to <br />be mined) <br />10. General Location and Elevation <br />(Miles & direction from nearest <br />town & approximate site elevation) <br />Three(3) miles Southeast of Craia (St hwy 394) Elevation-6500 <br />ii. County <br />Moffat <br />i2. Acreage of Affected Lands <br />(Total surface acreage to be <br />included in permit) <br />Two (2) Acres. <br />13. Application Fee (See applicable <br />Rule to determine amount) <br />