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02/11/2002 18:94 FA% 719 852 5558 WORDS PLUS <br />- 2 - <br />6, Z[ame of owner of the svLS9rfau liPbts of affected lapd: I lr... ~~c~ ~ _ ~caT 5~~e ~ ~ a ~ i TN G. <br />7. Name otowrter of the surface of affected land: L)~ t~rERSAt `pEA7 Jg~.fIL~~+Q e.IF't . I W - <br />X02 <br />8. Tvceprm;amEope~ation: ~. Surface llndcaground _____ m-sim <br />~ECE!VED BY FAX <br />9. Inntiop mfofjnatiop: The center of [Le area whore the majority of mining will occur. <br />coUNTY: ~a4c. SEP 1'- RECD <br />PRDVCIPAL MERIDLgN (check ooe): ~ 6th (Colorado) 10th (New Mrauco) U[e CMG <br />SECTION (write numha): <br />TOWNSHIP' (write numbs and check direcriop): <br />RANGE (write nttmba and check duection): <br />QUARTIIt SECTION (check one): <br />QUARTER/QUARTERSFCTION (check one): <br />S ~~ <br />T~_ _ Noah _~ South <br />R~_ _ East _~ west <br />_NS ~Nw ~SE ~_SW <br />NE ~ rrw ~ SE , sw <br />GENERAL. DESCRD'TiON: ([he number of miles and d[recdoo from the nearest mwn and the appro~r~+9~• elevation): <br />~ MILaS N OF _~MpsCAt_A Pfl AX ELFVA~[Ibl.~• 4,,(olD F'[,_ <br />10. Prfmarv fptpre lPoslmlpmel land use (check onel: <br />Cropland(CR) _ Pas[trreland(PL) <br />Rangelaod(RL) _ Fmrstry(PR) <br />_ Remdential(RS) , Rrcrcadon(RC) <br />Developed Water Resources(VJR) <br />11. $lmary present land use (check peel: <br />_ Cropland(CR) _ Pasaut:land(PL) <br />Rangeland(RL) , ForesaY(F'R) <br />Residcotial(RS) _ Rcacation(RC) <br />Develpped ware Respurees (WR) <br />_ General Agrindnac(GA) <br />_ WildlifeHahita[(WI.) <br />InduspiaUCommadal(IC) <br />Solid WasteDisposal(WD) <br />_ Gcnaal Agriculttnti(GA) <br />` WildlifeHabitat(Wl.) <br />_ IndustriaUCotnmadal(IC) <br />_ Mining (MN) <br />12. If this opt3ation will ass designated chemicals, or will result, err prt'sendy Las acid mine drainage • you £3-La tsse this application form Yau must <br />submit either a 110d err 112d application form fw Desigoatcd Mit[ing Operations. !p either cue, you must ]ist any acidic or toxic-forming., <br />rnarerials, exposed or dis[urbed as aresult pf the mining operator, and wLetha the opeaatop wiD result in or presendyhas acid mine drainage: <br />13. Drsaiptipn of Ammdmept oT Convetviop: <br />If you are amending or converting an etdstiog opaarion, provide a brief na[raRVC describing the proposed change(s): <br />A tlF1~ ?N.IT N.ts ~EeJJ, oa HAY SE, Q FFEGT$D Bt' THE oPERA~p1J. T/le teTit ~ pEuf..,nED, <br />/9caE,t4& REnaus TN>: SAHE RS ~~ ?NS Q2~wuAC. -~Ftt~+rT : 9.~4 AcaE3. <br />