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i <br />• <br />L- <br />6. <br />7. <br />8. <br />9. <br />[tame of owner of the aubaurface riehta of afterted land: Todd Dysart <br />Name ofowveroftheaurfaceofaftectedland: Woodrow W Heist b Phoebe B Heist <br />7. l Names of the holders of any recorded easements on the elTected land: None <br />Tyne of minin¢ ooeratioe: X Surface ,Underground In-situ <br />Location ieformation: The center of the area where the majority of mining will occur: <br />COUNTY: Logan <br />PRINC~AL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write nt®ber): S 8 <br />TOWNSHIP (write ummber and check direction): T 6 X North South <br />RANGE (write nmmber and check direction): R 51 East X qty <br />QUARTER SECTION (check one): NE NW X SE S W <br />QUARTER/QUARTER SECTION (check one): NE NW X SEA` X SW <br />GENERALDESCRIPTION: (the nmmber of miles and direction from the nearest town and the approximate elevation): <br />SE 1/4 of Sec 8 of T6 R51 - 15 miles SE of Sterling, Co Elevation 4200' (approx) <br /> <br />10. Primary future (Foal-mmmel land aae (check one): <br />_ Cropland(CR) X Pestureland(PL) _ General Agriculture(GA) <br />_ Ratrgehmd(RL) _ Forestry(FR) _ WtldlifeHabitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ Indttshial/Commercial(IC) <br />Developed Water Resomces(WR) _ Solid Waste Disposal(WD) <br />11. Primary nreunt land aae (chcek one): <br />CropLmd(CR) X Pastuteland(PL) _ General Agriculture(GA) <br />_ R~6e~~-) _ ForesnY(FR) _ Wildlit'eHabiffit(WL) <br />_ Residrntial(RS) _ Recreation(RC) _ ra~h~cr.;.uCommercial(IC) <br />_ Developed Water Resources (WR) _ Mining (IvIIJ) <br />12. If thu operation wiIl ase designated chemicals, or wrll result, or presently has acid mine drainage -You cannot use this application fotm. <br />You must submit either a I lOd ar 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 resnlt of the mining operation, and whether the operation will resah m ar presently <br />has acid mine drainage: <br />None <br />13. Deuriotion of Amendment or Conversion: <br />If you are amending or converting an existing opetatioo, provide a brief aertative describing We proposed change(s): <br />None <br />* Includes t e o is quar er quar er sec ion <br />