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<br />-z- <br /> <br />6. Name of owner of the subsurface richts of affected Sand: Jerald A. Seifert & Fred Lowry <br /> <br />7. Name of owner of the surface of affected sand: Jerald A. Seifert & Fred Lowry <br />7.1 Names of the holders of any recorded easements on the affected land: none <br />8. RYpe of minia c op eration: x Surface Underground In-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: Fremont <br />PRINCIPAL MERIDIAN (check one): X 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): S 30 <br />TOWNSHIP (write number and check direction): T ~j_ North X South <br />RANGE (write number and check direction): R 72 East X West <br />QUARTER SECTION (check one): SE4 SW4 and NE ~ NW ~ SE SW <br />QUARTER/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): 14 miles north of village of Parkdale on Hwy 50 at <br />elevation 8,000 <br />10. Pr~T~+~y future (Post-mining) land use (check owe): <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 Water Resources(WR) Solid Waste Disposal(WD) <br />11. Primary present land use (check owe): <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. Zf 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 />There will be no acidic or toxic-forming materials used, exposed or <br />disturbed as a result of this mining operation. Sand and gravel are <br />basically inert in their natural state. <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 />