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<br />-2- <br />• <br />3. Address and Phone iVumoer of <br />Local Jffices P.O. Box 478, Farmington, NM 87499 (505) 327-0291 <br />4. Address and Phone Number,of <br />General Offices <br />5. Name and Phone rlumoer of Person <br />staff ,Memoers Snould Contact <br />Samuel J. MusiCk- District Manager <br />b. Owner(s) of Aecord of Affected Land <br />(surface area) (If more than 2, list below) <br />J. Pat & Lila N. Greer <br />7. Owner(s) of Substance to be Mined <br />(If more than 2, list below) <br />-J. Pat & Lila N. Greer <br />8.. Source of Legal Right-To-Enter <br />(Indicate what type of proof is <br />included in EXHIBIT G - lease, <br />deed, notarized letter, etc.) Notarized letter. <br />9. Type of Mine and Substance to be Mined <br />(Specify underground, open pit, <br />quarry, etc. & suostance(s) to <br />oe mined) open pit, gravel & road base material. <br />1U. General Location and Elevation <br />(Miles & direction from nearest <br />town & approximate site elevation) <br />Ih miles North a.f Redrnesa Co,- 6600' ele%iation <br />11. County <br />IaPlata County <br />12. Acreage of Affected Lands <br />(Total surface acreage to be <br />included in permit) <br />8.26 Acres <br />13. Application Fee (See applicable <br />Mule to detennine amount) <br />$335' 00