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®~~ <br />- a - <br />6. Name of owner of the subsurface rights of affected land: <br />7. Name of owner of the surface of affected land: <br />8. Tvpe of mining operation: ~ Surface <br />Underground In-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: PA 2l•C <br />PRINCIPAL MERIDIAN (check one): <br />SECTION (write number): <br />6th (Colorado) <br />TOWNSHIP (write number and check direction): <br />RANGE (write number and check direction): <br />QUARTER SECTION (check one): <br />QUARTER/QUARTER SECTION (check one): <br />S ~~ <br />~IS~~~ hY I6~ <br />FEB 2 5 <br />IOth (New Mexico) ~~~ gfj~tcerds a1M Ceolopy <br />T ~ Narth ~ South <br />R ~_ East ~_ West <br />NE _ NW _ SE ~ SW <br />_NE _NW ~SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevationl: <br />10. Priman' future (Post•mininel land use (check one <br />_ Cropland(CR) _ Pastureland(PL) <br />Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources(WR) <br />11. Primary present land use (check one): <br />Cropland(CR) _ Pastureland(PL) <br />Rangeland(RL) _ Foresvy(FR) <br />Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources (WR) <br />_ General Agriculture(GA) <br />Wildlife Habitat(WL) <br />IndusviaUCommercial(IC) <br />_ Solid Waste Disposal(WD) <br />General Agriculture(GA) <br />Wildlife Habitat(WL) <br />_ lndusviaUCommercial(ICj <br />Mining (MN) <br />12. if this operation will use destena[ed chemicals, or will result, or presently has acid mine drainage -you cannot use this application form You mu <br />submit either a 110d or 112d application form for Designa[ed Mining Operations. In either case, you must list any acidic or toxic-formin <br />materials, exposed or disturbed es a result of the mining operation, and whether the operation will result in or presently has acid mine drainae <br />13. Description of Amendment or Conversion: <br />I(you are amending or converting an existing operation. pro~nde a brief narrative describing the proposed change(s) <br />FFF FGTIVE 11 /91~/OI/THE. A)l.r dF Mlu E4 ~ Y R ~ FqS P Z 7S d 4 S ~'2n/..l 7NE /JEST <br />F/Jt»FT1]F_ t)QILIUgL Pr~¢/-+/r'TNAT /JAS/~~T 1SEEty AFFEs?F7. IIy TJF (~,f R/1GL.'T PIT dYC4q Ti G.tl. <br />THIS fa /~4t=lt D~4F~.J7_l,1D D3 2.75 Af QES dN TLlIE !V/~QT4J fEva-r S/DE5 oFTNE dQ/4/NAB PEQ/../T <br />f112f-f+ 1'N,l T NRs ~3c cN, O q H AV $ Jc~ A ~ ~ ~'~T>; 0 3 ~ T NE a pERA7loa. T~J E To7A r_ YE¢,c, l TTt <br />~G/LE,(~~ REnA/NS THE SAf-rE R5 /.~ 7Nb ORl4/u,lc. -p~¢1.,/7 9,~0¢ AcaES. <br />