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-2- <br />6. Name of owner of the snbsarface rights of affected land: ~~DtL'G A ~ --~ J6i11 e ~l~l p C/ /~e /~- <br />7. Name o[ owner of the surface of affected Iand: :S{#M ~ <br />8. Tvoe of mining ooeratbn: ~ Surface Underground In-sits <br />9. Location Information: The .ec rater of the area whew the maj rAy of mining w~ occAr: <br />co Y me->' <br />PRINCIPAL MERIDIAN (check one): ~(Cokxado) lt>th (New Merdco) Ute <br />SECTION (write number): S _+~- <br />TOWNSH~ (write number acct check direction): T ~_ _~ North South <br />RANGE (write number and chxk direction): R ~ East x West <br />QUARTER SECTION (check ame>: NE ~ ~ sE sw <br />QUARTER/QUARTERSECTIGN (check one): NE ~NW SE S W <br />GENERAL DESCRIPTION: (the mnnber of mrlos and direction from the nearest town and the approximate eL3vation): ~% <br />cJr ~-O~ <br />10. Prhnary ifndrr~e (Post-miobotg) land use (chock Duel: <br />Crophurd(CR) <br />~ ~~~) <br />_ Residential(RS) <br />_ Developed WaterResomces(WR) <br />11. Primary onsent Isnd use (check one): <br />_ Craphmd(CR) <br />_ Rangehnui(RL) <br />Residential(RS) <br />_ Developed WaterResomaes(WR) <br />Pashmehmd(PL) _ General Agicallme(GA) <br />_ Forestry(FR) _ Wildlife llabitat(WL) <br />_ Recreation(RC) _ hrdactriaUCommercial(IC) <br />_ Solid waste Disposal(VJD) <br />Pastm~eland(PL) _ General Agricultoce(GA) <br />Fotesny(FR) _ WildlifeHabitat(WL) <br />Recreation(RC) _ IndushiaUCommenciat(IC) <br />M~ (~ <br />12. L`. this operation will use designated cha,..:^^~a, or will result, of presently has acidminedrainage - you cannot use this application fog. <br />Yon must submit either a 1104 of 112d application fasm farDesignated Mming Operations. In either case, you must list a~ acidic or <br />- -toxic-fomiiag mafeiisls; ezposedor disnutied as aresah of the mining operating andw-he9ier3he operation williesult is o~ presently <br />has acid mice drainage: <br />13. Aescriotioa of Amendment or Conversion: <br />pIfyon are amending or converting an existing <br />e.1 i/ave ~ ~3' ~~ Pence <br />the mrmosed change(al: <br />