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~~ ~~~ ~.-K~cI X31 ~z 1 ~~ <br />,_ <br />H r w Ck <br />~ <br />l ~('C <br />~ IC'tfQ L~~(hCk~ i1 <br />l'Il! <br />«te <br />I. Name of owner of the aubanrface rhthb of a . <br />. <br />d land: ` <br />Name of owner of the anrfaoe of aHecteA Nnd: <br />8 C~(1LK ~ ,~ ~')t l~ (P !~~P7 } <br />(1 Yl(~~ <br />Q r , ~. (~('~ I <br />. _ <br />9. Tvne of miai~ onantUen: ~_ Surface Undergamd In-situ <br />10. I~atinn lnformatloa: The ~ of the area where the majority of mining will occur: <br />COUNTY : ~2YY}O(~~' <br />PRINCIPAL MERIDIAN (check oac): ~ 6th (Colorado) 1 0th (New Mexico) Uoe <br />SECTION (wrote numJxr): S ~_ <br />TOWNSHIP (write munber and check direcaon): T ~_ North __~ South <br />RANGE (write ntanber and check direction): R <br />~__ East ~~ <br />~~Wd[ <br />QUARTER SECTION (check one): ~( <br />~ \ NE NW ( <br />- SE SW <br />~ <br />QUARTERlQUARTER SECTION (check ott): _NE NW / <br />_ /S_ SE SW <br />(the mtosber of mike ,off 6vm the oweat mwn sad the al~O ID ~b, )~ <br />..a.P~SC~t~r"~xL~C/YS mr1~s Sc of ~loren~e, co rrn Tne elevtz Jp <br />1. Prllr{~y,_MI~ E <br />i nt»nee Loea tbn (report m etiha LMadNlamgtihde Q$ IPfM): <br />t,atltaddt,on>: <br />t <br />Ezatr~k: (N) ade: <br />39° 44' 1 <br />2.98" <br />(N~ 1Q4° S9' 3.87" <br />Latitude (N): ~ <br />3 <br />` <br />deb min ~ sec l ~.~_ (2 decimal places) <br />LQngiade (W). CC <br />~'~n <br />, <br />des ~ min ~_ sec ~.~,_ (2 decuael Places) <br />OR <br />Enmple: (N) 39.73691° <br />(Vl~ -104.98449° <br />Latitude (N) (S decirrrl pLCCa) <br />LongibWe(W) (5 decimal plain) <br />OR <br />UnhKnal Tnare rx IMer~~ (IJ7'M) <br />Example: 2013363E NAD27 lone 13 <br />4348331 .2 N <br />LrfM Datum (specify NAD27, NAD83 or WGS 84) Zott <br />Fasting <br />Northing <br />1 ~-e~~ ~ <br />