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• 2s—Z--_ <br /> 6. Name of owner of the subsurface rinhts of affected lands: <br /> 7. Name of owner of the surface of affected land: J <br /> 7.1 Names of the holders of any recorded easements on the affected land. <br /> 9. Tvpe of mining operation: kSurface Underground In-situ <br /> 9. Location information: The center of the area where the majority of mining`ill occur: <br /> COUNNTTY: <br /> PRINCIPAL MERIDIAN(check one): v 6th(Colorado) 10th(New Mexico) _ Ute <br /> SECTION(write number): S 3l <br /> TOWNSHIP(write number and check direction): T _ v North South <br /> RANGE(write number and check direction): R East lr West / <br /> QUARTER SECTION(check one): NE NW SE // SW <br /> QUARTER/QUARTER SECTION(check one): NE NW SE SW <br /> GENERAL DESCRIPTION:(the number of miles and direction from the nearest town and the approximate elevation): <br /> 10. Prlmary future(Post-minine)land use(check one): <br /> _ Croplaud(CR) _ Pammiand(PL) _ General Agriculture(GA) <br /> _ Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br /> _ Residential(RS) _ Recreation(RC) _ Indusirial/Commeroial(IC) <br /> _ Developed WaterResources(WR) _ Solid Waste Disposal(WD) <br /> 11. Primary present land use(check one): <br /> Cropland(CR) _ Pasmreland(PL) _ General Agriculture(GA) <br /> V Rangeland(RL) _ Forestry(FR) _ Wildlife Habttat(WL) <br /> Residential(RS) _ Recreation(RC) _ Industrial/Commercial(IC) <br /> _ Developed Water Resources(WR) _ Mining(MN) <br /> 12. If this operation will use designated chemicals,or will result,or presently has acid mine drainage-you cannot use this application form. <br /> You must submit either a I 1 Od or I I2d application form for Designated Mining Operations, In either case,you must list any acidic or <br /> toxic-foring materials,exposed or disturbed as a result of the mining operation,and whether the operation will result in or presently <br /> has acid mine drainage: <br /> /n� <br /> 13. Description of Amendment or Conversion: <br /> If pu are amending or converting an existing operation,provide brief narrative describing the proposed change(s): <br /> �YVK4oe #o,eJQ ts �/Je��+4� b �Ur(v Sc��e�o2 I✓�l `fI_S <br /> k/b,40 C-o4A-Q— T "5 e AA0 z 1 v cc o r- /z <br /> v2 N r •'h 7-4. Ft L-e. Rom-rlL- sG(- �1 [.'n 5 7�z2` 4'3_ . <br />