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2 <br />6. Correspondence Information <br />APPLICANT/OPERATOR (Name, Address and Phone of Name to be used on Permit) <br />Individual's Name: !/.0.-?l1 <br />Company Name: /G <br />Street:o 1;V <br />City: '000-?.le a.A . -- <br />State: Z- 2 .CO?PA/JO <br />Telephone: (070) 8? .7.1e <br />PERMITTING CONTACT (If different from Applicant/Operator above) <br />Individual's Name: 4/-Ogw1** ??/iiGc=TO/l? <br />Company Name: J?'A/jJ,t <br />Street: <br />City: <br />State: <br />Telephone: <br />INSPECTION CONTACT <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: <br />Telephone: <br />(If different from Applicant/Operator above) <br />7. Location Information: The center of the operation lies in - <br />County: <br />USGS Quadrangle: Principal Meridian (check one): 26th (Colorado) _ 10th (New Mexico) _ Ute <br />A•?•CZ= SNi?,? <br />Township (Write number and check direction): G 3 ?North _ South /PAW, Z- " <br />Range (Write number and check direction): 6 _ East West <br />6, ,E,c Section: Quarter Section (Check one): _ NE _ NW - SE - SW <br />1?1 0?Qu arter-Quarter Section (Check one): _ NE _ NW - SE _ SW <br />Longitude (Write number): / C 7 Degrees (102-110) _O _l Minutes (0-60) <br />ZG . 9 Seconds (0.00-60.0) <br />Latitude (Write number): Degrees (37-41) X ! Minutes (0-60) <br />_f Seconds (0.00-60.0) <br />%3PN iPSCAof, ?r -7.7 V5' 7, IF, 4 <br />.7.-% <br />/PBGIr/, S3c'c1lo?YS / - 33 <br />72C V3, <br />iPSj'w ere-,; toVVS i?,.t.2 .Zy 3?' :?6 <br />T?'?/, S <br />10