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- 2 - 6 Name of owner of the subsurface ri hts of affected land: ~r''lYn E. Vazquez, Bruce A. Diamond 7. Name of owner of the surface otaftected land: Marilyn E. Vazquez. Bruce A. Diamond 7.1 Names of the holders of any recorded easements on the affected land: None 8. Tvoe of minintt operation: X Surface Underground In-situ 9. Location information: The center of the area where the majority of mining will occur: COUNTY: Chaffee PRINCIPAL MERIDIAN (check one): ~j_ 6th (Colorado) 10th (New Mexico) Ute SECTION (write number): $ 27 TO WNSHiP (write number and check dvection): T ~ 4 _ Noah R South RANGE (write number and check direction): R ~ -East ~_ West QUARTER SECTION (check one): - NE - NW X SE SW QUARTER/QUARTER SECTION (check one): _ NE X NW SE SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevazion): _ __3.3 Miles SSE of Buena Vieta Colorado• Elevation - 782G~ ~~ 10. Primary future (Post-mioine) land use (check one Cropland(CR) _ Pastureland(PL) _ General Agricutture(GA) X Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) _ Residential(RS) _ Recrearion(RC) _ IndustriaVCommercial(IC) _ Developed WaterResources(WR) _ Solid WasteDisposal(WD) 11. Primary present land use (check one _ Cropland(CR) _ Pastureland(PL) _ General Agriculnue(GA) X Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) _ Residential(RS) _ Recreation(RC) _ IndustriaVCommercial(IC) _ Developed WaterResources(WR) _ Mining(MN) 12. Ifthis operation will use designated chemicals, or will result, or presenty has acid mine drainage -you cane t use this application form. You must submit either a 1 1 Od or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming materials, exposed or disturbed az a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: No acidic or toxic-forming minerals or materials are anticiuated. All drainage from affected area is to be contained within the excavation. 13. Description of Amendment or Conversion: I f you are amending or convening an existing operation, provide a brief narrative describing the proposed change(s):