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1'. <br />1 <br />1 <br />1 <br /> <br />1 <br />t <br /> <br />1 <br />t <br /> <br />iJ <br />1 <br />1 <br /> <br /> <br /> <br />1 <br /> <br /> <br />-z- <br />3. Address and Phone ivumoer of <br />Local Uffices <br />P.O. Box 1046• Lamar C <br />4. Address and Phone Number of <br />General Uffices <br />P.O. Box 1046; Lamar Colorado 8 052• 303 336-9 <br />5. Name and Phone Numoer of Person <br />Staff ~lemoers Snould Contact <br />ti. Uwner(s) of Record of Affected Land <br />(surface area) (If more than 2, list below) <br />Walker Land and Cat le Corp. <br />7. Uwner(s) of Substance to be Mined <br />(If more than 2, list below) <br />Walker Land and Cattle Corp. <br />d. 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 />Notarized statement <br />9. Type of i~iine and Substance to be tdined <br />(Specify underground, open pit, <br />quarry, etc. & substance(s) 'to <br />oe mined) <br />Open pit; Sand and grave <br />lu. General Location and Elevation <br />(M11e5 & direction from nearest 3 miles south of Lamar; elevati n = 3710' <br />tuwn & approximate site elevation) <br />11. county <br />Prowers <br />12. Acreage of Affected Lands <br />(Total surface acreage to be <br />included in permit) <br />9.9 acres <br />13. Application Fee (See applicable <br />Rule to determine amount) <br />Exempt <br /> <br />