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-3- <br />l0. Location information: The center or the area where the ingion't min�g will occur lies in. <br />COUNTY: CC ii —k— <br />PRINCIPAL MERIDIAN (check one): '� 6th (Colorado) n I0th (New Mexico) ELUte <br />SECTION (write number): S <br />TOWNSHIP (write number and check direction). T __.._ . '� North South <br />RANGE (write number and check direction)- R '' East West <br />QUARTER SECTION (check one): BNE <br />NE n NWHSE <br />SE SW <br />QUARTER/QUARTER SECTION (check one): O NW SW <br />GENERAL DESCRIPTION4miles and direction from j'earest town and approximate elevation): <br />Itf5 /hilts Frt3p R�� �ot1�n,J 9dec <br />It. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM): <br />Latitude. Longitude: <br />Example: (N) 39" 44' 12.98" <br />(W) 104' 59' 3.87" U / <br />Latitude (N): deg min l sec � r`T (2 decimal places) <br />Longitude (W): deg min 3� sec r� 9 (2 decimal places) <br />OR <br />Example: (N) 39.736910 <br />(W) -104.98449° <br />r <br />Latitude (N) 35 C, q9. %0,67 Al (5 decimal places) <br />Longitude (W) - /i7 S 3 7 ' 00,20Id(5 decimal places) <br />OR <br />Universal Tranverse Mercator (UTM) <br />Example: 201336.3 E NAD27 Zone 13 <br />4398351.2 N <br />UTM Datum (specify NAD27, NAD83 or WGS 84) <br />Easting <br />Northing; <br />12. Priman, future Post-minin land use check one): <br />Cropland(CR) Pasturcland(PL) <br />eRangeland(RL) Forestry(FR) <br />_ Residential(RS) Recreation(RC) <br />Q Developed Water Resources(WR) <br />13. Primary present land use (check one): <br />BCropland(CR) Pastureland(PL) <br />Rangeland(RL) Forestry(FR) <br />B <br />Residential(RS) Recreation(RC) <br />Developed Water Resources(WR) <br />Zone <br />General Agriculture(GA) <br />Q Wildlife Habitat(WL) <br />]Industrial - Commerc ial(IC) <br />Solid Waste Disposal(WD) <br />General Agriculture(GA) <br />Wildlife Habitat(WL) <br />Industrial.—'Commercial(IC) <br />Mining(MN) <br />