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-2- • <br />10. Correspondence information: <br />APPLICANT/OPHRATOR (name, address, d hone of pane to be used tan ermit) <br />Contact's Name: Ben.. Conned ~r Dave Simpson Title President & Vie <br />resident <br />Company Name: Connell Resources <br />Street: 305 East Harmony Road <br />City: ort o ins <br />State: o ors o Zip Code: Rn525 <br />Area Code: 970 Telephone: 223-3151 <br />PERMITTING CONTACT' (if different fram applicant/operator above) <br />Individual's Name: John Jordan <br />Company Name: Tuttle Applegate, Inc. <br />Street: Grant treat, uite 410 <br />Clty: Panear <br />State: Colorado Zip Code: 80233 <br />Area Code: 303 Telephone: 452-6611 <br />INSPHCTION CONTACT' <br />Individual's Name: Ben Connell or Dave Simpson <br />Company Name: Connell Resources <br />Street: 3 5 East Harmony Road <br />City: ort o ins <br />State: Colorado Zip Code: 80575 <br />Area Code: 970 Telephone: 223-3151 <br />CC: STATE OR FI'DHRAL LANDOWNHR (if env) <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />CC: STATH OR FHDHRAL LANDOWNHR (if anv) <br />Agency: <br />Street: <br />City: <br />State: Zip Code: <br />Area Code: Telephone: <br />11. Primary future (Poet-mining) land use (check one): <br />CYOpland(CR) _ Paetureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) Forestry(FR) _ Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) Eaduetrial/Ceam~ercial(ZC) <br />}~,y Developed Water Reeourcee(WR) _ Solid Waste Diepoeal(WD) <br />12. Primary rp esent land use (checJc one): <br />rop and(CR) Pastureland(PL) ~[) General Agriculture(GA) <br />_ Ran9eland(RL) -_ Porestrx(FR) _ Wildlife Habitat(WL) <br />_ Residential(RS) Recreation(RC) _ Industrial/Cosmiercial(IC) <br />_ Developed Water Resourcea(WR) <br />13. Method of Mining: _ Quarry (QR) _ Solution (SO) <br />13.1 her; Briefly explain mining method (e.g. Placer, truck/shovel). <br />men pit dry mining <br />14. On Site Proceseina: _ Solution (SO) Chemical (CH) Thermal (TH) <br />_ Heap Leach (HL) _ Vat Leach (VL) <br />List any designated chemicals o~~~{d-producing materials to be used or stored rithin permit <br />azea: <br />,~ <br />