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- 2 - <br /> 6. Name of owner of the subsurface rights of affected land: <br /> 7. Name of owner orthe surface oraffected land: <br /> 7.1 Names of the holders of any recorded easements on the affected land: <br /> 8. Type of mining operation: X Surface Underground In-situ <br /> 9. Location information: The center of the area where the majority of mining will occur: <br /> COUNTY: <br /> PRINCIPAL MERIDIAN(check one): '*1X 6th(Colorado) _ I0th(New Mexico) Ute <br /> SECTION(write number): S l <br /> TOWNSHIP(write number and check direction): T 3 3 A North _ South <br /> RANGE(write number and check direction): R _ East '9,_ West <br /> QUARTER SECTION(check one): _ NE 'A% NW _ SE _ SW <br /> QUARTER/QUARTER SECTION(check one): NE _ NW x SE SW <br /> GENERAL DESCRIPTION:(the number of miles and direction from the nearest town and the approximate elevation): '24 <br /> (%4bl) gs W yck oS� Mc.fV%\ C. na ` g rr,;le So �.lt�. �)tL.0.T rn �0Oo <br /> 10. Primary future(Post-mining)land use(check one): <br /> _ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br /> Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br /> Residential(RS) _ Recreation(RC) _ Industrial/Commercial(IC) <br /> _ Developed WaterResources(WR) _ Solid Waste Disposal(WD) <br /> 11. Primary present land use(check one): <br /> _ Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br /> Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br /> _ Residentiai(RS) _ Recreation(RC) _ IndustriallCommercial(IC) <br /> _ Developed Water Resources(WR) _ Mining(MN) <br /> 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 <br /> submit either a 110d 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 /> Notre <br /> 13. Description of Amendment or Conversion: <br /> If you are amending or converting an existing operation,provide a brief narrative describing the proposed change(s): <br /> NohQ <br />