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. -z- <br />b. Name of owner of thesubsuriaceriehtsofaBcetedland: (NCO. C~bt] Piro G'eek Rnnch C~A IV)Ark <br />4 L h <br />7. Name of owner of the surface of affected land: ~unnt rIQ , IYF3r, <br />7.1 Names of the holders of any recorded easements on the affected land: <br />8. Type of minine operation: _t~ Surface Underground In-situ <br />9. Location information: The cen r of the area where the majority of mining will occur: <br />COUNTY: T(1 GkS_On <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) IOth (New Mexico) Ute <br />SECTION (write number): S ~_ <br />TOWNSHIP (write number and check direction): T ~_ ~L North _ South <br />RANGE (write number and check direction): R ~Q~ _ East _~ West <br />QUARTER SECTION (check one): _ NE J N W ~ SE _ SW <br />QUARTER/QUARTER SECTION (check one): _ NE _ NW ~~ SE _ SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximaze elevation): <br />A,t]rt~ltti_ n~ 4 rniles nnr+h .t c{ of CaWdre~t ctonrox.ale.vetion- S,IOi' <br />10. Primary future (Post-minine] land use (cheek ooe <br />_ Cropland(CR) , Pasttveland(PL) _ General Agricuhure(GA) <br />~[ Rangeland(RL) ~ Forestry(FR) _ WildlifeHabitat(WL) <br />_ Residential(RS) _ Reaeation(RC) _ Industrial/Commercial(1C) <br />_ Developed WaterResources(WR) _ Solid WasteDisposal(WD) <br />l 1. Primary nreseot land use (check one <br />_ Cropland(CR) ` Pasmreland(PL) _ General Agriculture(GA) <br />~ Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Recreation(RC) _ IndustriaVCommercial(IC) <br />_ Developed Water Resources (WR) _ Mining (MN) <br />12. [f this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application forth. You must <br />submit either a I lOd or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming <br />materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: <br />13. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />