2017-09-19_PERMIT FILE - M1982020

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-3- 8. Name of owner of the subsurface rights of affected land: A L&4 L- -G 9. Name of owner of the surface of affected land: A-t-(>V'} i-L-L 10 LOCATION INFORMATION: The center of the area where the majority of mining will occur: COUNTY: 6-V Net t'i d hi PRINCIPAL MERIDIAN(check one): El 6th(Colorado) 10th(New Mexico) Ute SECTION(write number): S 10 TOWNSHIP(write number and check direction): T _ *- East North South RANGE(write number and check direction): R West QUARTER SECTION(check one): 17, NE n NW n SE SW QUARTER/QUARTER SECTION(check one): -a NE -a NW -.SE SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation) 10 M1G`S SF © F 6-Vtlti1 SIGN , AT- AfpR3X. 9160 FT AM 4-- l 1. Primary Mine Entrance Location(report in either Latitude/Longitude OR UTM): Latitude/Longitude: Example: (N) 39' 44' 12.98" (W) 104° 59' 3.87" Latitude(N): deg 3 9 min "2-5 sec S 4- to (2 decimal places) Longitude(W): deg 106 min S 1 sec 2-0 (2 decimal places) OR Example: (N) 39.73691' (W) -104.98449° Latitude(N) (5 decimal places) Longitude(W) - (5 decimal places) OR Universal Tranverse Mercator(UTM) Example: 201336.3 E NAD27 Zone 13 4398351.2 N UTM Datum(specify NAD27,NAD83 or WGS 84) Nad 83 Zone 13 Easting Northing 12. Prima "future Post-minin "land use check one): Cropland(CR) Pastureland(PL) M General Agriculture(GA) Rangeland(RL) Forestry(FR) R Wildlife Habitat(WL) Residential(RS) Recreation(RC) IndustriaUCommercial(IC) Developed Water Resources(WR) RSolid Waste Disposal(WD) 13. Primary"present"land use(check one): Cropland(CR) Pastureland(PL) ® General Agriculture(GA) Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) Residential(RS) RRecreation(RC) RMining Industrial/Commercial(IC) Developed Water Resources(WR) (MN)