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-2- <br />3. Address and Phone Number of 818 Oak Street <br /> local Offices Trinidad, Co. 81082-3599 <br /> Ph: 846-4416 <br />4. Address and Phone Number of <br /> General Offices ( Same as above ) <br />5. Name and Phone Number of Person John R. Manus - Planning Consult t <br /> Staff Members Should Contact 3716 Red Canon Place <br /> Colo. Spgs., Co. 80904 <br />6. Owner(s) of Record of Affected Land Orlando and Rose Mari Martinez <br /> (surface area) (If more than 2, list below) it 1 Kiowa <br /> Pueblo, Co. 81006 <br />7. Owner(s) of Substance to be Mined <br />list below) Orlando and Rose Marie <br />(If more than 2 <br />Martinez <br /> , <br />8. Source of Legal Right-To-Enter Legal Right-to-enter has been complished by <br /> (Indicate what type of proof is a lease agreement. ( copy encl sed) <br /> included in EXHIBIT G -lease, <br /> deed, notarized letter, etc.) <br />9. Type of Mine and Substance to be Mined The extraction of sand and gravel will be <br /> (Specify underground, open pit, conducted from an open-pit irtinq <br /> quarry, etc. & substance(s) to operation along with a bat h plant operatio <br /> be mined) <br /> located in Section 19, T 26 S, R 69 W, 6th P.M. <br />10. General Location and Elevation The site lies approximately thre -quarters of a <br /> (Miles & direction from nearest <br />q~ile south southeast of the town <br />ti <br />it <br />l <br />i <br />t of Gardner, Co. <br /> eva <br />o <br />ma <br />e s <br />e e <br />town & approx n <br />Site Elevation: Approx. 6980 <br />11. County Huerfano County <br />12. Acreage of Affected Lands <br /> (Total surface acreage to be 9.95 acres <br /> included in permit) <br />13. App]ication Fee (See applicable $ 125.00 ~ $25.00 + $10.00 / ac a or por. <br /> Rule to determine amount) <br />I <br /> <br />n. <br />