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<br />-2- <br />3. Address and Phone Number of %carl Schneller <br /> Local Offices P. 0. Hox 147 <br /> Holyoke, CO 80734 <br />4. Address and Phone Number of <br /> General Offices same <br />5. Name and Phone Number of Person Owner - Carl Schneller <br /> Staff Members Should Contact (303) 854-3242 <br />~6. Owner(s) Of Record Of Affected Land Schneller Enterprises, Inc. <br /> (surface area) (If more than 2, list below) % Carl Schneller <br />7. Owner(s) of Substance to be Mined same <br /> (If more than 2, list below) <br />8. Source of Legal Right-To-Enter <br /> (Indicate what type of proof is notarized 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, open pit - clay <br /> quarry, etc. & substance(s) to <br /> be mined) <br />10. General Location and Elevation <br /> (Miles & direction from nearest 5 miles east, 7 miles south of Holyoke <br /> town & approximate site elevation) site Elevation - 3680 <br />ll. County Phillips <br />12. Acreage of Affected Lands <br /> (Total surface acreage to be 9.9 <br /> included in permit) <br />13. Application Fee (See applicable ~lzs <br /> Rule to determine amount) <br />