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- 2 - 6~ Name of ownerofthesubsurfacerir!htsofaRectedland: Robert G. Deakins 7. Nameafownerofthesurfaceofa(feMedland: Robert G. Deakins 7.1 Names of the holders of any recorded easements on the affected land: 8. Type of mining operation: X Surface Underground In-sim 9. Location information: The center of the area where the majority of mining will occur: COUNTY: Moffat PRINC)PAL MERIDIAN (check one): _ {~ 6th (Colorado) I Oth (New Mexico) Ute SECTION (write number): S 6 TOWNSHIP (write number and check dtrection): T 6 X North _ South RANGE (write number and check direction): R 90 _ East X West QUARTER SECTION (check one): X NE _ NW _ SE _ SW QUARTER/QUARTER SECTION (check one): _ NE _ NW X SE _ SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): .1 (one-tenth) mile east of Craig, 6180 feet in elevation 10. Primary future (Post-mipinc) land use (check ope): Cropland(CR) _ Pastureland(PL) _ General Agricuhure(GA) _ Rangelapd(RL) _ Forestry(FR) X WildlifeHabitat(WL) _ Residendal(RS) _ Recrea[ion(RC) _ IndustriaVCommercial(IC) _ Developed Water Resources(WR) _ Solid Waste Disposal(WD) 11. Primary present land use (check one): _ Cropland(CR) X Paztureland(PL) _ General Agriculture(GA) Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) Residential(RS) _ Recrea[ion(RC) _ IndustriaVCommercial(IC) _ Developed Water Resources (WR) _ Mining (MN) 12. [f this operation will use designated chemicals, or will resuh, or presendy has acid mine drainage -you cannot use this application form. You must submit either a 11 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 haz acid mine drainage: 13. Descriotion of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s):