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r s <br />_2_ <br />6. Name of owner of theaubaurfattriahtaofaffectedlaod : John M. Everitt and Janice M. Everitt <br />~. Name of owner of the aurfatt of affected land: Same <br />8. Tvce of miainn oceratioa: XX Surface Underground In-situ <br />9. Locataa iaformstioo: The center of the area where the majority of mining will occur: <br /> COUNTY: Phillips <br /> PRINCIPAL MERIDIAN (check one): XX 6th (Colorado) 10th (New Mexico) Ute <br /> SECTION (write number): S 26 <br /> TOWNSHIP (write number and check direction): T 7 X North South <br /> RANGE (write number and check direction): R 4 ~ East X West <br /> QUARTER SECTION (check one): NE NW SE X 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 approximate elevation): <br />2 miles East, 6-1/4 miles South of Haxtun, Colorado; 4,028 ft elevation <br />0. Primary future (Poet-miainal hmd ase (check one <br />_ Cropland(CR) X Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resourees(WR) <br />11. Prhnarv present lead use (check one <br />_ Cropland(CR) g Pastureland(PL) <br />_ Rangeland(RL) _ Forestry(FR) <br />Residential(RS) _ Recreation(RC) <br />Developed Water Resources (WR) <br />General Agriculture(GA) <br />WildlifeHabitat(WL) <br />IndustriaUCommercial(IC) <br />Solid Waste Disposal(WD) <br />_ General Agriculttrce(GA) <br />WddlifeHabita[(WL) <br />_ Industrial/Commereial(IC) <br />Mmmg (MN) <br />12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application <br />form. You must submit either a I I Od or 112d application form for Designated Mining Operations. In either case, you must list arty <br />acidic ortoxic-forming materials, exposed ar disturbed as a result of the mining operation, and whether the operation will result in or <br />presently has acid mine drainage: <br />None <br />13. Ikactiatloa of Ameedmeat or Coaversloa: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): <br />