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7. Name of owner of the subsurface riehts of affected land: RO ber t J , , and Frances A , Phi 11 ip s <br />8. Name of owner of thesurtaceofaffeetedland: Robert J, and Frances A. Phillips <br />9. Tvoe of minlne oneration: X Surface Underground Ia-snu RECE', t <br />10. Location information: The center of the area where the majority of mining will occur v ED <br />couNTY: Boulder -APR ~ 3 2005 <br />SECTI N (wnME n~umher) (check one): X 6S (5 olorado) 10th (New Mexico) _Il;vi~~ of ~laorals and GeoloBY <br />TOWNSHIP (write number aad check direction): T 3 X North South <br />RANGE (write number and check direction): R 7 0 East X West <br />QUARTER SECTION (check one): NE NW SE SW <br />QUART7iR/QUARTER SECTION (check one): NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction from the aeanest town and the approximate elevation): 2 ° 5 mile s <br />north of Flume on Stone Canyon Road, <br />~E~T1. Primary Mine Eetraoee Location (report in either Iatitude/Longitude or UTM): <br />Latitude/LonQitude " <br />Latitude (N): deg ~_ min _~ sec .2 U 7 OR Latitude (AT) (Sdsirm! <br />places) <br />Longitude(R~: deg min /~ sec s.3s Longitude(W) {5 decimal places} <br />Universal Tranverse Mercator (UTMI <br />UT'M Datum (specify NAD27, NAD83 or WGS 84) <br />Zone <br />Northing <br />Fasting <br />12. Primary future (Post-miniue) land use (check onel: <br />_ Crophmd(CR) _ Pasturetand(PL} <br />_ Rangeland(RL) _ Forestry(FR) <br />~ Residential(RS) _ Recreation(RC) <br />Developed Water Resources(WR) <br />General Agriculture(GA} <br />_ WildlifeHabitat(WL) <br />_ fndusniaVCommercial(IC) <br />_ Solid Waste Disposal(WD) <br />13. Prunarv oresent land ase (check onel: <br />_ Cropland(CR) _ Pastureland(PL) <br />_ Rangeland(RL) _ Forestry(FR) <br />_ Residential(RS) _ Recreation(RC) <br />_ Developed Water Resources (WR) <br />_ General Agriculture(GA) <br />_ Wildlife Habifat(WL) <br />IndustriaUCommercial(IC) <br />%~g~ <br />] 4. If this operation will use designated chemicals, or will result, or presently has acid mine drainage -you cannot use this application <br />form. You must submit either a 1 ]Odor 1124 application form for Designated Mining Opemtioas. In either case, you must list any <br />acidic or toxio-forming materials, exposed or disturbed as a result ofthe mining operation, and whether the operation will result inor <br />presently has acid mine drainage: <br />None -Not Applicable <br />