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• <br />-z- <br />6. Name of owner of the subsurface richts of affected land: ~1(Kl 1J0 ~P_ Z0.. <br />7. Name of owner of the surface of affected land: T I HA nA ~P Z 0. I <br />8. Type of mininc ooeration: ~ Surface IInderground In-situ <br />9. Location information. The center of the area where the majority of mining will occur: <br />cooNTx: S e11 c, "~, ~ C K <br />PRINCIPAL MERIDIAN (check one): 1~'6th (Colorado) 10th (New Mexico) IIte <br />SECTION (write number): S ~ O <br />TOWNSHIP (write number and check direction): T .~~ v North South <br />RANGE (write number and check direction): R ~~ E~as/t ~ West <br />QOARTER SECTION (check one): ~ NE NW v SE SW <br />QIIARTER/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) : ~, Jr ,vl: ~ Q.S ~n .l +-~n ~,~ 111. ~~ S ~4 S <br />10. Primary future (Post-mininc) land use (check one): <br />_ Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />~/ Rangeland(RL) Foreetry(FR) Wildlife Habitat(WL) <br />Residential(RS) Recreation(RC) Industrial/COmmercial(IC) <br />Developed Water Resourcea(WR) Solid Waste Diaposal(WD) <br />11. Primary oresent land use (check one): <br />_ Cropland(CR) Pastureland(PL) General Agriwlture(GA) <br />v Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />_ Resident ial(RS) Recreation(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 must submit either a ilOd or <br />112d application form for Designated Hining 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 />" R E C E I P T Date -~ ) 9 ~' No. 8 5 01 <br />13. llel <br />If you ~° Received From ~ ~ ~ L ~ <br />the pr< ~ Ad r s ' <br />C ' ~~~ `~11 . - ~ ~ Dollars $ ~~ _ <br />.~ - <br />a _ <br />dddd ACCOUNT HOW PAID <br />SI AMT. OF CASH <br />ACCOUNT <br />AMi PAip CHfCK A <br />BAUINCF MONEY ~ ~ y ~ ~ D, 1 ~ ~ <br />J <br />