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- 2 - <br />Name of owner of thesubsurhttriehtsofaBeMedland: Bureau of Land Management <br />NameotownerofthesurfaceofaRectedland: Bureau of Land Management <br />7.1 Names of the holders of any recorded easements on the affected land: <br />Tvoe of minine oneretion: X Surface Underground In-sim <br />Location information: The nter of the area where the majority ofmining will occur: <br />COUNTY: Rio Blanco <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) IOth (New Mexiw) Ute <br />SECTION (write number): <br />TOWNSHIP (write number and check duection): <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER/QUARTER SECTION (check one): <br />S ~ <br />T 2 X North _ South <br />R 1 00 _ East ?{ West <br />_NE _NW _SE %SW <br />NE X NW SE _ SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): <br />Ten miles Northeast of the Town of Rangely, Elevation is 5560' <br />10. Primary future (Post-minine) land use (check one): <br />_ Cropland(CR) _.Pastureland(PL) <br />X Rangeland(RL) _ Forestry(FR) <br />_ Residemial(RS) _ Recreation(RC) <br />_ Developed Water Resources(WR) <br />Primary present land use [check one): <br />_ Cropland(CR) _ Pastureland(PL) <br />% Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />Developed Water Resources (WR) <br />General Agriculture(GA) <br />_ Wildlife Habitat(WL) <br />InduslriaUCommercial(IC) <br />Solid Waste Disposal(WD) <br />_ General Agriculture(GA) <br />_ Wildlife Habitat(WL) <br />_ IndustriaUCommercial(IC) <br />Mining (MN) <br />If this operation will use designated chemicals, or will result, or presemty has acid mine drainage -you cannot use this application form. You must <br />submit either a ] 1 Od 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 />Description of Amendment or Conversion: <br />Ifyou are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />