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<br />C~ <br />-z- <br /> <br />6. Name of owner of the subsurface richts of affected land: Chester Barnard <br />7. Name of owner of the surface of affected land: Chester Barnard <br />8. Type of mininc operation: _}~ surface underground in-situ <br />9. Location information. The center of the area where the majority of mining will occur: <br />COUNTY: BOlllder <br />PRINCIPAL MERIDIAN (check one): ~. 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): S _~ <br />TOWNSHIP (write number and check direction): T _~ X North South <br />RANGE (write number and check direction): R ~L East X West <br />QUARTER SECTION (check one): X Ng 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): `miles from LVOns 6000 feet <br />10. Primary future (Post-mininc) land use (check one): <br />Cropland(CR) Paetureland(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) Paetureland(PL) General Agriculture(GA) <br />Rangeland(RL) Forestry(FR) X Wildlife Habitat(WL) <br />Reeidential(RS) Recreat ion(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 moat 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 /> <br />e <br />13. m <br /> <br />R: <br />C'I <br />RECEIPT Gate ~- )9~No. 8634 <br />Received Fro m <br />re <br />k' ~ ~ Dollars <br />For - <br />ACCOUNT HOW PAID <br />AMi Of <br />ACCOUNT CASH <br />AMi. PAID CHECK <br />BAUONCE MONEY <br />DUE ORDE4 B <br />Icribinq <br />