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• <br /> - 2 - <br /> 6. Name of owner of the subsurface rights of affected land: I_1ALE Bin'iu !J <br /> 7. Name of owner of the surface of affected land: � ALe 1'196U p <br /> 7.1 NameS of the holders <br /> �o/f� any recorded easements on the affected land: AhO LVF, <br /> S. Type of mining operation: Y!! Surface Urderground In-situ <br /> 9 . Location information: The center of the area wkere the majority of mining will occur: <br /> COUNTY: <br /> PRINCIPAL MERIDIAN (check one) : �_ 6th (Colorado) loth (New Mexico) Ute <br /> SECTION (write number) : S <br /> TOWNSHIP (write number and check direction) : T _ V North South <br /> RANGE (write number and check direction) : R 9_ East West <br /> QUARTER SECTION (check one) : Spa 011 (0 NE NW SE SW <br /> QUARTER/QUARTER SECTION (check one) : NE NW SE 1h SW <br /> GENERAL DESCRIPTION: (the number of miles <br /> s� and d:.rection from the nearest town and the <br /> approximate elevation) : �J.� iftL�pA 4oNtOrA� ,W. 6g6o Gleyo_k oV1 . <br /> 10. Primary future (Poet-mining) land use (chec]• We) : <br /> Cropland(CR) Pasturelarid(PL) 2z 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 one) : <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) ._ 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 applica=ion form. You must submit either a 110d or <br /> 112d application form for Designated Mininc Operations. In either case, you must list <br /> any acidic or toxic-forming materials, expDsed or disturbed as a result of the mining <br /> operation, and whether the operation will result in or presently has acid mine drainage: <br /> m r d ,2zi4 <br /> 13. Description of Amendment or Conversion: <br /> If you are amending or converting an existing op-gyration, provide a brief narrative describing <br /> the proposed change(s) : <br /> `A <br />