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Robert J„ and Frances A, Phillips <br />7. Name of owner of the snbsnrface rights of affected end: _ <br />8. Nsmeotownerofthesurfaceofaffeetediand: Robert ~, and Frances A, Phillips <br />9. Tvoe of mining oueration: X Surface Underground Tn-sitri <br />10. Location information: The center of the area where the majority of mining wr71 occur. <br />couNTY: Boulder <br />PRINCIPAL MERIDIAN (check one): R 6th (Colorado) <br />SECTION (write number): S 5 <br />TOWNSHIP (write number and check direction): T 3 <br />RANGE (write number and check direction): ~ R ~ ~ <br />lOtlt (New Mexico) Uce <br />X NoRh South <br />_ East X west <br />QUARTER SECTION (check one): NE NW SE SW <br />QUARTER/QUARTERSFCTION (check one): NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximace elevation): 2 ° 5 mi 1 e s <br />north of Flume 'on Stone. Canyon Road° <br />F+F1. Prhnarv Mine Entrance Loratlon {repoR in either f.atitude/Longimde or UTM): <br />Latitude/I.oagituae *please refer to original application, <br />Latitude ~: deg ~ min sec OR Latitude (N) - (Sde®al <br />places) <br />Longitude ~: deg min sec Longitude(W) (Sdecimalplaces) <br />Universal Tranverae Mercator (i1TM1 <br />UTM Datum (specify NAD27, NAD83 or WGS 84) Zone <br />Northing <br />Fasting <br />12.. Prtmarv future (Poet-mfaingl land use (check one1: <br />Crophmd(CR) ~ _ Pasluteland(PL) ~. General Agricultute(GA) <br />_ Rangehmd(RL} _ Forestry(FR) _ Wildlife Habitat(WL) <br />~ Residential(RS) _ Recreation(RG~ _ IndustriaVCommeroial(IC) <br />_ Developed Water Resources(WR) ~ _ Solid Waste Disposal(WD) <br /> <br />13. Prbnarv present land use (check one1: <br />_ Ctophmd(CR) _. Pasturehwd(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) Wildlife Habitat(WL) <br />Residential(RS) _ Recreation(RC) _ InduslriaVCommercial(IC) <br />_ Developed Water Resources (WR) ~ R Mining ~ <br />14. If this operation will use desigmted chemicals, or will result, or presently has acid mine drainage -you cannot use this application <br />form You must submit either a 110d er 112d application form for Designated Mining Operations. In either case, you must list any <br />acidic or toxio-foraring materials, exposed or disturbed as aresult of the mining openrtion, soil wbether the operation will resultin or <br />presently has acid mine drainage: <br />None -Not Applicable <br />