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- 2 - <br /> 6. Name of owner of the subsurface rights of affected land:/ <br /> 7. Name of owner of the surface of affected land: �+La- 6P ry-Vz. U4 <br /> 7.1 Names of the holders of any recorded easements on the affected land: <br /> 8. Type of minim operation: `� Surface _ Underground _ In-situ <br /> 9. Location information: The center of the area where the majority of mining will occur: <br /> COUNTY: I�r2EM c.v-T <br /> PRINCIPAL MERIDIAN (check one) : 6th (Colorado) _✓ 10th (New Mexico) Ute <br /> SECTION (write number) : S <br /> TOWNSHIP (write number and check direction) : T 4e North South <br /> RANGE (write number and check direction) : R 10 _vl� 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 town and the <br /> approximate elevation) : 3 A M+'Ly7 /w^' g`� cV 1{aw�yc.nA ,G>nO�.D4) <br /> \N'r 'J6fT\ON or, C - 4 'A- `faM4-my wr_`j f-!A Ac" <br /> 10. Primary future (Post-mining) 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) Industrial/Commercial(IC) <br /> Developed Water Resources(WR) Solid Waste Disposal (WD) <br /> ,^ 11. 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) 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 /> Y N <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 />