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-z- 6. Name of owaer of the subsurface rights of affected land: Robert & Dorothy Goode 7. Name of owner of the surface of affected laced: _.Robe,Ft _& Dorothy Goode 7.1 Names of the holders of any recorded easements on the affected land: None B. Type of miniaa operation: XXX Surface ~ Underground ~ In-situ 9. Location informatioa: The center of the area where the majority of mining will occur: COUNTY: MONTROSE PRINCIPAL MERIDIAN (check one): 6th (Colorado) XX 10th (New Mexico) Ute SECTION (write number): S 10 TOWNSHIP (write number and check direction): T 48 XXX North South RANGE (write number and check direction): R 10 East XXXWest QUARTER SECTION (check one): XX NE NW SE SW QUARTERIQUARTER SECTION (check one): NE NW SE XX SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): 10 miles from town southwest. The elevation is approximately 5000 feet 10. Pr+*~~~ future (Post ~mi.aina) land use (check one): _ Cropland(CR) Pastureland(PL) General Agriculture(GA) Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) _ Residential(RS) Recreation(RC) Industrial/Commercial(IC) XX Developed Water Resources(WR) Solid Waste Disposal(WD) 11. Primary present land use (check one): Cropland(CR) Pastureland(PL) General Agriculture(GA) _ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) _ Residential(RS) Recreation(RC) Industrial/Commercial(IC) Developed Water Resources (WR) XX Mining (MN) 12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application form. You must submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: NONE 13. Description of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s):