2015-08-04_REVISION - M2002087 - Laserfiche WebLink

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– 2 '6. Name of owner of the subsurface Lights of affected land: 7. Name of owner of the surface of affected land: _ S. Type of mining operation: T— Surface Underground in-situ 9. location information: The center of the area where the majority of mining will occur: COUNTY: ,4–,_ PRINCIPAL MERIDIAN (check one): 'X_ 6th (Colorado) 10th (New Mexico) Ute SECTION (write number): S _ — Rangeland(RL) _ Forestry(FR) TOWNSH P (write number and check direction): T �O r Nom South RANGE (write number and check direction): R East V West QUARTER SECTION (check one): NE NW SE V SW QUARTERIQUARTER SECT70N (check one): NE NW P/ SE SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): /1 fN - - " 10. Primary future (Post-mbiae) land use (check one): — Cropland(CR) _ Pastureland(PL) — Rangeland(RL) _ Forestry(FR) R sidential(RS) i Recreation(RC) veloped Water Resourccs(WR) 11. Primary present, land use (check one): land(CR) _ Pastureland(PL) Rangeland(RL) _ Forestry(m) _ Residential(RS) _ Recreation(RC) — Developed Water Resources (WR) General Agriculture(GA) ✓ Wildlife Habitat(WL) C 5waUD6427', — Industrial/Commercial(IC) Solid Waste Disposal(WD) _ General Agriculture(GA) — Wildlife Habitat(WL) _ Indusrial/Comrnercial(IC) _ Mining (MN) 12. If this operation will use designated chetnicals, or will result, or presently has acid mine drainage - you g tl g use this application form You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic -forming materials, e% Ted or disturbed as a result of the mining operatipn, and whether the operation will result in or presently has acid mine drainaec: 13. Description of Amendment or Conversion: If you are amending or con an existing operation, provide a brief narrative describing the proposed change(s):