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I <br />f , ' <br />-2- <br />8. Indicate number of acres in permit area for each category below. <br />a. Mineral ownership of coal to be mined. <br />Federal State Private Indian <br />b. Surface Ownership <br />Federal State Private Indian <br />c. Disturbed Area <br />d. Life of Mine Area <br />e. Affected Area <br />f. Permit Area <br />9. Type of Mine (check one): Underground Surface <br />Combined Surface and Underground Other <br />10. Permit Status: A P <br />11. Location Information: The center of the operation lies in - <br />12. <br />County: USGS Quadrangle: <br />Principal Meridian (check one): _ 6th (Colorado), _ 10th (New Mexico), <br />_ Ute <br />Township (write number and check direction): _ North _ South _ <br />Range (write number and check direction); _ ~_ East _ West _ <br />Quarter Section (check one): NE _, NW _, SE _, SW _ <br />Quarter-Quarter Section (check one): NE _, NW _, SE _, SW _ <br />Longitude (write number): _ _ _ Degrees(102-110),_ _ Min. (0-60) <br />_ _ _ Seconds (00.0-60.0) <br />Latitude (write number): _ _ _ Degrees (37-41 ), _ _ Min. (0-60) <br />_ _ Seconds (00.0-60.0) <br />State Water District Number: _ _ (01-80) <br />General description (miles and direction from nearest town and <br />approximate elevation): <br />Correspondence Information <br />APPLICANT/OPERATOR (name, address and phone of name to be used on permit) <br />Individual's Name: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: Telephone: Zip Code: <br />