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-2- <br />Dame of owner of subsurface rlgbts of affected land: <br />ff 2 or more owncrs, "refer to Exlibit O". <br />Name of owner of sarface of affected land: <br />~e of mining oneradon: _~ Surface Underground <br />Location Information: The center of the area where the majority of mining will occur: <br />COUNTY: ~/f T <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) _ 10th (New Mexico) _ Ute <br />SECTION (write number): S ~_ . <br />TOWNSHIP (write number and cdieck direction): <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER/QUARTER SECTION (check one): <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest fawn and the appro:dmate elevation): <br />' 10. Primary Mine Entrance Location (report in either Latitude/Longitude or UTM): <br />Latitude(I.ongitade <br />Latitude (1T): deg min sec ~'~ OR Latitude (I~ C~ e . ~` ~ : ~5~' ~ (5 decimal places) <br />Longitude(VJ); deg min sec Longitude(W) /D~~ Q~.B~a~ (5 decimal places) <br />T _f~ X North _ South <br />R ~ ~ East X West <br />~NE _NW _SE _SW <br />_,NE _NW ~SE _SW <br />Universal Tranverse Mercator (U'I'M) <br />UTM Datum~(specify NAD2'7, NAD83 or WGS 84) GJI~ .5 .~ Zone ~~_ <br />Northing /TV ~~ <br />Easting /I~/A <br />11. Prlmarv Eaton (Post-mining) land nse (cheek one): <br />_ Cropland(CR) <br />_ Rangeland(RL) <br />_ Pastureland(PL) <br />General Agriculture(GA) <br />x Wildlife Habitet(VVL) <br />Residentiel(RS) _ Recreation(RC) <br />_ Developed Water Resources(WR) <br />-_ Forestry(FR) <br />IndustriaVCommercial(IC) <br />Solid Waste Disposal(WD) <br />12. Prlmarv nrwent land nse (check one): <br />_ Cropland(CR) <br />_ Rangeland(RL) <br />Pasnueland(PL) <br />_ General Agriculture(GAj <br />Wildlife Habitat(WL) <br />Industrial/Commercial(IC) <br />Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />Developed Water Resourcxs(WR) <br />13. Method of Mining: Briefly explain mining method (e.g. trock/shovel): t~6"// ~ J~ ~iP(/L' KS ~ !, a/fIJF~ <br />