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<br />a <br />6. Name of_owner of the subeurfnee rights of affected land:BureaU Of Land Management <br />7. Name of owner of the surface of affected land: Bureau of Land Management <br />a. xamea of the holders of any recorded easements on the affected land: overhead <br />electric 20' easement - Moon Lake Electric <br />8. Type of minima operation: X Surface Underground In-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />couNTY: Rio Blanco <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): S ~ <br />TOWNSHIP (write number and check direction): T 1 X North South <br />RANGE (write number and check direction): R 102 East X West <br />QUARTER SECTION (check one): NE NW X SE SW <br />QUARTER/QUARTER SECTION (check one): NE X NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town a nd the <br />approximate elevation): approximately ~ miles west of Rangely, CO <br />on County Road no. 102 approximate elevation 5220' <br />10. Primary future (Poet-mining) land use (check one): <br />Cropland (CR) Pastureland (PL) General Agriculture (GA) <br />X Rangeland(RL) Forestry(FR) Wildlife Habitat (WL) <br />Residential (RS) Recreation (RC) Industrial/Commercial (IC) <br />Developed Water Resources (WR) Solid Waste Disposal (WD) <br />11. Primary present land use (check one): <br />Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />X Rangeland(RL) Forestry(FR) Wildlife Habitat (WL) <br />_ Residential (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 110d or <br />112d application form for Designated Mining 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 />~1~- <br />13. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing <br />the proposed change(s): <br />,~1 ~ d12~ <br />