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- 2 - <br />6. Name of owner of the subsurface ri¢hts of affected land: <br />7. Name of owner of the surface of affected land: Fre <br />Fremont County <br />8. Type of mining operation: X Surface Underground In-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: Fremont <br />PRINCIPAL MERIDIAN (check one): 6th (Colorado) X 10th (New Mexico) Ute <br />SECTION (write number): S ~~ <br />TOWNSHIP (write number and check direction): T ~l ~ North South <br />RANGE (write number and check direction): R ~L East Wes[ <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 dtrection from the nearest [own and the approximate elevation): <br />Approx. 3 miles North of Coaldale 6,800 ft. <br />10. Primary future{post-minina)land use (check one <br />_ Cropland(CR) _ Pastureland{PL) _ General Agriculture(GA) <br />Rangeland(RL) _ Forestry(FR) _ Wildlife Habitat(WL) <br />Residendal(RS) _ Recreation(RC) X Industrial/Commercial(IC) <br />Developed Water Resources(WR) _ Solid Waste Disposal(WD) <br />11. Primary present land use (check one): <br />Cropland(CR) _ Pastureland(PL) _ General Agriwlttue(GA) <br />_ Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) <br />Residen[ial(RS) _ Recreafion(RC) g Industrial/Commercial(IC) <br />Developed Water Resources (WR) _ Mining (MN) <br />12. If this operation will use designated chemicals, or will resul4 or presently has acid minedrainage -you cannot use this application form You must <br />submit either a 110d or 112d application form for Designated Mining Operations. In either case, you must list any acidic or toxic-forming <br />materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: <br /> <br />N/A <br />13. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing the proposed change{s): <br />Fremont County is requesting to amend this permit to the max allowable acres <br />