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2 6. 7. 8. 9. NamenfownerofthesubsurfaceriahUOfalfectedland: L1nCOln COUnty Name of owner of the surfaceofaBectedland: Lincoln COUnty 7.1 Names of the holders of any recorded eazements on the affected land: none Tvoeofmininenoeration: X Surface Undergreund In-situ Location information: The center of the area where the majority of mining will occur: Lincoln COUNTY: PRINCIPAL MERIDIAN (check one): X 6th (Colorado) IOth (New Mexico) Ute SECTION (write number): S 36 ' TOWNSHIP (write number and check direaion): T 8 _ North X South RANGE (write number and check direction): R 56 _ Eazt X West QUARTER SECTION (check one): _ NE _ N W X SE _ SW QUARTER/QUARTERSECTION (check one): _ NE _ NW X SE _ SW GENERAL DESCR1PTlON: (the number of miles and direction from the nearest town and dte approximate elevation): 3 miles north ~ 4 miles east, elevation 5700 ft. 10. Primary future (Post-minln¢1 land uae (check noel: _ Cropland(CR) _ Pazturcland(PL) _ General Agricuhure(GA) X Rangefand(RL) _ Forestry(FR) _ WildlifeHabitat(WL) _ Residential(RS) _ Recreation(RC) _ IndustriaVCommercial(IC) _ Developed Water Resources(WR) _ Solid Waste Disposal(WD) i 1. Primary~rnent Isod use (check onel: Cropland(CR) _ Paztureland(PL) _ General Agriculttue(GA) X Rangeland(RL) _ Forestry(FR) _ WildlifeHabitat(WL) _ Residential(RS) _ Recreation(RC) _ IndustriaVCommercial([C) _ Developed Water Resources (WR) _ Mining (I~IIJ) 12. if this operation will use designated chemicals, or will result or presently has acid mine drainage -you anon[ use this application form. You must submit either a i lOd or I ltd application form for Designated Mining Operations. In either case, you must list any acidic or toxic forming materials, exposed or disturbed az a result ofthe mining operation, and whether the operation will result in or presently haz acid mine drainage: None 13. Description of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrarive describing the proposed change(s): Some confusion has existed as to the actual permitted size and location of this site. By amending the application to 9.9 acres total area, matters should be clarified.