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-3- <br />7. Name of owner of the subsurface rights of affected I <br />8. Name of owver of the surface of affected laud: <br />9. Type of mining operation: ~_ Surface Underground _ <br />10. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: <br />In-sim <br />:.._ ~-~~ <br />`~~" D : [ED5 <br />ute ~~ <br />PRINCIPAL MERIDIAN (check one): ~th (Colorado) 10th (New Mexico) <br />SECTION (write number): S ~a <br />TOWNSHIP (write number and check direction): T ~ North <br />RANGE (write number and check direction): R ~ East <br />QUARTER SECTION (check one): NE NW <br />QUARTER/QUARTER SECTION (check one): ~~ NE NW <br />SE <br />SW j~CGULf <br />GENERAL DESCRIPTION: (the number of miles and direction from the ne est town and the approximate elevation): /P 7 <br />11. Primary Miue Entrance Location (report in either Latimde/Longitude or UTM): r?~ <br />Latitude/I,on¢itude <br />Latitude (I~: deg min sec OR Latitude (N) 3~._1~decimal places) <br />Longitude (W): deg n.in sec Longia.dc("J~ ~_.~~~~1~X15 decimal places) <br />Universal Tranverse Mercator (UTMI <br />UTM Datum (specify NAD27, NAD83 or WGS 84) Zone <br />Northing <br />Easting <br />12. Primary future (Post-mininsrl lapd use (check one <br />_ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />` <br />,~~ Rangeland(RL) _ Foreslry(fT2) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ IndustriaUCommercial(IC) <br />Developed WaterResources(V/R) _ Solid WasteDisposal(WD) <br />13. Primary present land use (check one <br />_ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />Rangeland(RL) _ Forestry(fR) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ IndustriaUCommercial(IC) <br />_ Developed Water Resources (WR) _ Mining (IvIN) <br />14. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application form. <br />You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or <br />toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the opei ation will result in orpn:sentlyhas <br />acid mine drainage: <br />~l~S <br />~j~~(,~J>// .he ~n ~Peid:e ~~r 7oX;c - ~~ryln,~in~/.Yr~r:ups 2~sed <br />Wi ! Abe ~hal/ed Q'S ~ese~,ryb~~ ~~~,u~~a~~~~~ ~/an -rh~.y <br /> <br />South <br />West <br />SE <br />~~~~~ <br />t~SW <br />