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-2- <br />6. Name of owner of the subsurface ri¢hts of affected land: <br />7. Name of oavuer of the surface of affeMed laud: <br />8. Tvce of miein¢ oceration: L Surface Underground In-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />couNTY: E tr t~a~ v <br />PRINCIPAL MERIDIAN (check one): _~ 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): S ~ ~ / '{'r P ~ <br />TOWNSHIP (write number and check direction): T ~ 1 1o North South <br />RANGE (write [[umber and check direction): R ~~ East 1L West <br />QUARTER SECTION {check one): NE NW `~ SE SW <br />QUARTER/QUARTER SECTION (check one): NE NW 7y SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the neazest town and the approximate elevation): <br />10. Primary future (Post-mminpJ land ase (check one <br />_ Cropland(CR) ~ Pastureland(PL) _ General Agriculture(GA) <br />Rangelaod(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br />_ Residwtial(RS) _ Recreation(RC) _ IndustriaUCommeroial(IC) <br />Developed WaterResources(WR) _ Solid Waste Disposal(WD) <br />11. Primary oreaeut hmd ase (check one): <br />_ Ctvpland(CR) _ Pastltreland(PL) _ General Agriculture(GA) <br />Rangeland(RL) ~ Forestry(FR) ~ WildlifeHabitat(WL) <br />Residential(RS) ~ Recrea[ion(RC) _ IndustriaUCommercial(IC) <br />Developed Water Resources (WR) _ Mining (MN) <br />12. If this operation will use designated chemicals, or will resat[, or presently has acid mine drainage -you cannot use this application <br />form. You must submit either a 1 IOd or 112d application form for Designated Mining Operations. In either case, you must list any <br />acidic ortoxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or <br />presently has acid mine drainage: <br />`r1~eKe wt~~ isr/ nto r}ct~rc otc T~xc - rorzwt,ntrt tMt4reieAr~t_s ~s~u 1~ ">Z~s <br />n P~rlo,.t 2F qsy N1u~t-rQtr4~s R+ee untcovEat~TF1«~N ~Y w,l.~ FEE f-~a.n~ot_Eb <br />fkS pE$G2~l3Et~ InJ ~1~C, C; yv1,l N/f nr Cs Z~L.R/.1 <br />13. Description of Amendment or Conversion: <br />aze amending or convening an existing operation, prr1ovide a brief narrative describing the proposed change(s): <br />t7hr.I SIUN v F 1/1CIST~N Cruel 1"C "~d ~E fl~R+~ t^-~eS~ <br />