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-2- <br />+6. Name of owner of the subsurface rights of affected land: l(~RRfLE.J ~ACDB.Sfit1 <br />7. Name of owner of the surface of affected laced: LyAIQ~QEN l`rf~'1'B56/V <br />7.1 Names of the holders of any recorded easements on the affected land: {w/VC <br />8. Twe of mining operation: ~ Surface Underground In-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: EArDI-E' <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): ~ S ~~ <br />TOWNSHIP (write number and check direction): T r-71 North ~ South <br />RANGE (write number and check direction): R g~ East ~ West <br />QUARTER SECTION (check one): NE NW ~ SE SW <br />QUARTER/QUARTER SECTION (check one): '/ NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest Mown and the <br />approximate elevation) : /FPpRO7cIOL4T~l.Y o2•'~ ~lME5 AF DO'rSL~O OJl) <br />C°~l.D,PA#)O QtN~7Q IPURn T/U.U ~ Ln3~ FED i <br />10. PrimazY future (Post-mining) land uae (check one): <br />_ Cropland(CR) ,~ Pastureland(PL) General Agriculture(GA) <br />Rangeland(RL) Forestry(FR) Wildlife Habitat (WL) <br />Residential(RS) Recreation(RC) Industrial/Commercial(IC) <br />Developed Water Resources (WR) Solid Waste Disposal(WD) <br />11. Primary preaeat laced use (check one): <br />_ Cropland(CR) ~ Pastureland(PL) General Agriculture(GA) <br />_ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />Residential(RS) Recreation(RC) Industrial/Commercial(IC) <br />Developed Water Resources (WR) Mining (MN) <br />12. If this operation will use designated chemicals, or will result, or presently has acid <br />mine drainage - you cannot use this application form. You must submit either a 110d or <br />112d application form for Designated Mining Operations. In either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a result of the mining <br />operation, and whether the operation will result in or presently has acid mine drainage: <br />N©r+~ - /Fu. Mi-~„N~ Gyu.~ B~ Aou~ /N A- 7aeRAem /~a~vvasL ,~ia~s( ,-. <br />13. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing <br />the proposed change(s): <br />