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2- <br />6. Name ofowoeroftheaubsurfaceriahtsofaffectedland: Grectorv /Charles Hoffman <br />7. Name of owner of the surface of affected land: Same <br />8. Tvne of mialny,~teration: X Surface Underground Tn-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: Lincoln <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) <br />SECTION (write number): S 10 <br />TOWNSHIP (write number and check dvection): T 9 North <br />RANGE (write ntanber and check direction): R 5 5 East <br />QUARTER SECTION (check one): NE NW <br />QUARTER/QUARTER SECTION (check one): NE NW <br />_ 10th (New Mexico) _~ Ute <br />X _ South <br />X West <br />SE X SW <br />x SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): 1 m i 1 e <br />east of Genoa aproxx CR 29 and 3G elevation 5600 feet <br />10. Primary future(Foal-mininsl land uaelcheck one <br />Cropland(CR) _ Pastureland(PL) <br />g Rangeland(RL) ~ Forestry(FR) <br />Residwtial(RS) ~ Recrea[ion(RC) <br />Developed WaterReso»rces(WR) <br />_ General P.griculture(GA) <br />Wildlife}Iabitat(WL) <br />- Industrial/Commereial(IC) <br />_ Solid WasteDisposal(WD) <br />11. Primary present hwd useLheck oae <br />Croplend(CR) _ Pastureland(PL) <br />X Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources (WR) <br />_ General Agricultwe(GA) <br />_ Wildlife Habitat(WL) <br />IndustriallCommercial(IC) <br />_ Mtnmg ;MN) <br />12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application <br />form. You must submit either a ] 1lM or 112d application form for Designated Mining Operations. In either case, you must list any <br />acidic ortoxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result m or <br />presently has acid mine drainage: <br />NA <br />13. Description of Amendment or Conversion: <br />If you are amending or convening an existing operation, provide a brief narrative describing the proposed change(s): <br />NA <br />