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-a- 6. Name of owner of the subsurface riohts of affected land: Charles S. Brewer Charles S. Brewer 7. Name of owner of the surface of affected land: 8. Tune of minino operation: X Surface IIndergrouad In-situ 9. Location information. The center of the area where the majority of mining will occur: ~DNTY: Lincoln PRINCIPAL !ffiRIDIAN (check one): X 6th (Colorado) 10th (New Mexico) IIte SECTION (write number): S TOWNSHIP (write number and check direction): T' L'/ ~ 7 North ~ South RANGE (write number and Check direction): a S d R East _~ West QIIARTER SECTION (check one): ~ NE NW SE SW QIIARTERJQIIARTER SECTION (check one): NE NW ~ SE SW GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation): Thirteen ahd one half miles east of Rush,Colo. Approximate elevation is 5460 ft. 10. Primary future (Post-mininol land use (check one): _ Cropland(CR) Pastureland(PL) General Agriculture(GA) ~ Rangeland(RL) Forestry(PR) Wildlife Habitat(WL) Residential(RS) Aecreation(RC) ~_ Industrial/COmmercial(IC) _ Developed Water Resources(WR) ~ Solid waste Disposal(WD) 11. Primary present land use (check one): _ _ Cropland (CR) Pastureland(PL) ` General Agriculture(GA) X Rangeland(RL) Forestry(FR) wildlife Habitat(WL) _ Residential(RS) Recreatioa(RC) Industrial/Commercial(IC) Developed Water Resources (WR) Mining (MN) 12. If this operation will use designated chemicals, or will result, or presently has acid mine drainage - you cannot use this application form. You must submit either a 110d or 112d application form for Designated Mininq Operations. In either case, you must list i any acidic or toxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the operation will result in or presently has acid mine drainage: NIA 13. Description of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing the proposed change(s): The proposed chance ~s to increase the size of the mining operation.