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- 2 - <br />6. Name of owner of the subsurfaceri htsofaffeMedland: Randy Perdue <br />7. Name ofowaerofthesurfaceofatfectedland: Randy Perdue <br />7.1 Names of the holders of any recorded easements on the affected land: Non e <br />8. Type of minine operation: X Surface Underground In-situ <br />9. Location information: The cenur of the area where the majority of mining will occur: <br />COUNTY: Boulder <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): <br />TOWNSHIP (write number and check dtrection): <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER/QUARTER SECTION (check one): <br />S 5 <br />T 3 X North South <br />R ~ ~ _ East X West <br />_ NE X NW _ SE _ SW <br />_NE ^NW SE _SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): , <br />Three (3) miles northeast of Lyons, CO Approx. elevation: 6,500 <br />10. Primary future ost-minin¢) land use (check one <br />_ Cropland(CR) _ .Pastureland(PL) <br />~ Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources(WR) <br />I1. Primary prese~laed use (check one <br />_ Cropland(CR) _ Pastureland(PL) <br />X Rangeland(RL) _ Forestry(FR) <br />Residential(RS) _ Recreation(RC) <br />_ Developed Waur Resources (WR) <br />_ General Agricuhure(GA) <br />_ WildlifeHabitat(WL) <br />_ IndustriaVCommercial(iC) <br />_ Solid Waste Disposal(WD) <br />_ General Agriculture(GA) <br />WildlifeHabitat(WL) <br />_ IndustriaVCommercial(IC) <br />_ Mining (MN) <br />12. Ifthis operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application form. You must <br />submit either a I I Od 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 />I f you are amending or convening an existing operation, provide a brief narrative describing the proposed change(s): <br />N/A <br />