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-2- <br />6. Owner(s) of record of affected land <br /> (surface area) (If morn than 2, list below) Louis M. Wyman <br />7. GWner(s) of substance to be mined <br /> (If more than 2, list below) Same as #6 <br />8. Source of legal right to enter <br /> (Indicate what type of proof is Copy of deed included in <br /> included in EXRZBIT G - lease, Exhibit G <br /> deed, notarized letter, etc.) <br />9. Type of mine 6 substance to be mined <br /> (Specify underground, open pit, Open Pit <br /> quarry, etc. ~ substance(s) to Sand and Gravel <br /> be mined) <br />10. General location s elevation <br /> (Miles s direction from nearest 16 miles SSW of Hayden <br /> town s approximate site elevation) 6700 feet <br />11. County Routt <br />12. Acreage of affected lands <br /> (Total surface acreage to be 9.5 acres ± <br /> included in permit) <br />13. Application fee (See applicable 125.00 <br /> RULE to determine amount) <br />19, Present land use (i.e., agri- <br /> cultural, industrial, etc.) Agricultural -- grazing <br />Z5. Proposed future land use <br /> (Goal of reclamation) Agricultural -- grazing <br />EYHIBIT A - Legal Description <br />The 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 Least the nearest quarter- <br />quarter section. Where applicable, the street address or lot number(s) may be used. <br />EXffIBZT B - Pfi Wing Plan <br />This can be a general discussion of the methods, equipment, phases or stages of the <br />operation and those areas of land affected by each. The plan should be correlated with <br />the map and should show where extraction will begin, and which direction, if any, it <br />will proceed. <br />s <br />