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-z- 6. Name of owner of the subsurface riohts of affected land: K 1 Irt N~f L T 0 7. Name of owner of the surface of affected land: K ~ N K ~ P ~ T 8. Tvpe of mininc operation: ~ Surface IInderground In-situ 9. Location information. The center of the area where the majority of mining will occur: COUNTY : S~ ~. ,,,~ ~ C K PRINCIPAL MERIDIAN (check one): Y 6t~ (Colorado) 10th (New Mexico) Dte SECTION (write number): TOWNSHIP (write number and check direction): RANGE (write number and check direction): QIIARTER SECTION (check one): QIIARTER/QUARTER SECTION (check one): S ~~, T ,~Q_ ~ North R ~~ East _ N8 NW _~ SE NE NW ~S8 _ South West SW SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): ~ ~ YH ~~ Q 10. Prima future Post-minin 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 Reaources(WR) Solid Waste Disposal(WD) 11. Pr' a resent land use (check one): Cropland(CR) Pastureland(PL) General Agriculture(GA) Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) _ Residential(RS) Recreation(RC) Industrial/Cormnercial(IC) _ Developed Water Resources (WR) Mining (14d) 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 ilOd or 112d application form for Designated Hiving 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: 13. Descriotioa of Ameadment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s):