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1•_ 1 <br />1 ~ <br />6. <br />• -? <br />Owner(s) of rernrd of affected land <br />(surface area) (If ware than 2, list below) <br />• <br />Ms. Gula Adams and Ms. Elva Tull <br />7. Owner(s) of substance to be mined <br />(If more than ?, list below) <br />8. Source of legal right to enter <br />(Indicate what type of proof is <br />included in EXIfIBIT G - lease, <br />deed, notarized letter, etc.) <br />9. Type of mine S substance to be mined <br />(Specify underground, open pit, <br />quarry, etc. 6 substance(s) to <br />be mined) <br />Z0. General location 6 elevation <br />(Miles 6 direction from nearest <br />town & approximate site elevation) <br />11. County <br />SAME AS #6 <br />NOTARIZED LETTER <br />OPEN PIT, SAND AND GRAVEL <br />26 MILES SOUTH OF LAS ANIMAS <br />4380 feet in elevation <br />BENT COUNTY <br />12. Acreaoe of affected lands <br />(Total surface acreage to be 9.3 ACRES <br />included in permit) <br />13. Application fee (See applicable <br />RULE to determine amount) <br />1?. Present Land use (i.e., agri- <br />cultural, industrial, etc.) GRAVEL PIT <br />15. Proposed future land use PASTURE <br />(Goal of reclamation) <br />E.YffIBIT A - i,eoal Description <br />She legal description must identify the affected land and be wholly adequate for field <br />location of the property. It can be in the form of metes & bounds survey or a descrip- <br />tion by reference to township, range, and section, to at Ieast the nearest quarter- <br />quarter secticn. [where 'applicable, the street address or Iot number(s) may be used. <br />EJOfIBZT B - Mi Wino Plan <br />This can be a general discussion of the methods, equipment, phases or stapes of the <br />operation and those areas of Land affected bu each. The plan should be correlated with <br />the map and should shocv where extraction will begin, and which direction, if any, it <br />will proceed. <br />