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~~rn~ ~~ D-~ ~~~D~~~ ~~ ~~~ <br />~ ~~ `-- <br />~~ ~ S°1 - - <br />~~-~1(b i ~l" ~~ <br />~°~ _~ZL. <br />lU 1 h t ,-___.,- <br />6. Name of owner of subsurface riehts of affected land: ~G Q,r t~Xhi Dt ! ~ <br />ff 2 or more owners, "refer to Exhibit 0". <br />7. Name of owner of surface of affected land: ~2~P./ Th ~X~II [71 ~ a~~ '~ <br />8. Tvpe of tninine operation: _)~_ Surface Underground <br />9. Location Information: The center of [he azea where the majority of mining will occur: ~~s/ ~~ t ~~ ~~ <br />COCNTY: ~( ~aSU <br />PRINCIPAL MERIDLAN (check one): X 6th (Col'orado) _ 10th (New Mexico) _ Ute <br />SECTION (write number): S Z~_,_, <br />TOWNSHIP (write number and check direction): T ~ 3 `North K South <br />RANGE (write number and check direction): R _~___ _ East X West <br />QUARTER SECTION (check one): X NE _ NW _ SE , SW <br />QUARTEIL'QUARTER SECTION (check one): _ NE _ NW _ SE _ SW N~A <br />GENERAL DES11CRIPTION: (the number of miles and direction from the nearest town a/nd the approxima(t~e elevation): ~ /~ <br />fn1IPS Pid S* e~ l~'.n (n fi~IJ SOrI/tt~S 2.7 //1/~< ~nri~hOaS-~ n't f-ALCnn/ <br />l0. Primary Mine Entrance Location (report in either Latitude/Longitude OR UTM): <br />Latitude/I.on~tude: <br />Example: (N) 39° 44' 12.98" <br />(W) 104° 59' 3.87" <br />Latitude (N): deg 3~_ min ~~ sec 3Z.~__ (2 decimal places) <br />longitude (W): deg I a4 min 33 sec ~ Z. ,~_ (2 decirnal places) <br />ox <br />Example: (N) 39.73G91° <br />(W) -10498449` <br />latitude (N) (S decimal places) <br />Longitude(W"") __' _____ (S decimal places) <br />OR <br />Universal Tranverse Mercator (UT:MI <br />Example: 201336.3E NAD27 'Lone 13 <br />4398351.2 N <br />RECEIVEp <br />NOV 3 0 BOOB `-, <br />~tVI310n Of ~eClarnatibn <br />Mining and Safety ,' <br />UTM Datum (specify NAD27, NAD83 or WCS 84) Zone <br />Fasting -~ - <br />Northing v` <br />