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-3- <br />~ r8. <br />Name of owner of the subsurface rights of affected land: BILL BURR I S <br />9. Name of owner of the surface of affected land: <br />BILL BURRIS <br />10 LOCATION INFORMATION: The center of the azea where the majority of mining will occur: <br />COUNTY: LA PLATA <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) ~ 10th (New Mexico) _ Ute <br />SECTION (write number): S 2 3 <br />TOWNSHIP (write number and check direction): T 3fi- ~ North _ South <br />RANGE (write number and check direction): R ~)- _ East X West <br />QUARTER SECTION (check one): _ NE ~ NW _ SE _ SW <br />QUARTER/QUARTER SECTION (check one): _ NE ~ NW _ SE _ SW <br />GENERAL DESCRB''FION: ([he number of miles and direction from the neazest town and the approximate elevation) <br />1,2 ~IIR MTT.FS NJt/. Ot A~+!'aR/1j 0~ V°~E/. )QtSoG- I~. NAO <br />11. Primary "future (Post-minine)" land use (check one <br />Cropland(CR) _ Pastureland(PL) _ General Agriculture(GA) <br />_ Rangeland(RL) _ Forestry(FR) ~ Wildlife Habitat(WL) <br />Residenflal(RS) _ Recreation(RC) _ IndustriaVCommercial(IC) <br />Developed Wattz Resources(WR) _ Solid Waste Dispogal(WD) <br />12. Primary "uresent" land use (check one): <br />Cropland(CR) _ Pastureland(PL) _ Generai Agricul[ure(GA) <br />Rangeland(RL) _ ForesVy(FR) _ Wildlife Habitat(WL) <br />Residen[ial(RS) _ Recreation(RC) _ IndustriaUCommercial(IC) <br />Developed Water Resources (WR) g Mining (MN) <br />13. list any designated chemicals, acidic ortoxic-forming materials, exposed or disturbed as a result of the mining operation, and whether the <br />operation will result in or presently has acid mine drainage: <br />t)N FILE DIVISIGN VF MINERALS AND GEOLGGY <br />14. Description of Amendment or Conversion: If you are amending or converting an existing operation, provide a brief narrative describing <br />the proposed change(s). <br />Gh ^`u h,ii lding location change, add .6 acres to southern boundary permit, <br />create new tails dump <br />15. Maps & Exhibits: Submit TWO (21 complete. unbound copies of the following application exhibits: <br />RULES: <br />6.3.1 <br />6.3.2 <br />6.3.3 <br />6.3.4 <br />6.3.5 <br />6.3.6 <br />6.3.7 <br />6.3.8 <br />6.3.9 <br />6.3.10 <br />6.3.12 <br />6.4.20 <br />6.5 <br />8 <br />1.6.2(1)(6) <br />EXI-IIB1T A -Legal Description and Location Map <br />EXI-IIBIT B -Site Description <br />EXI-IiB1T C -Mining Plan <br />EXHIBIT D -Reclamation Plan <br />EXI-IIBIT E -Maps <br />EXHIBIT F -List of Other Permits and Licenses Required <br />EXHIBIT G -Source of Legal Right-to-Enter <br />EXHIBIT H -Municipalities Within aTwo-mile Radius <br />EXI-IIBIT I -Proof of Filing with County Clerk <br />EXI-IIDIT J -Proof of Mailing Notices of Permit Application <br />EXI-IIBIT L -Permanent Man-Made Structures <br />EXHIBIT T -Designated Mining Operation Environmental Prote, <br />Geotechnical Stability Exhibit (as required) <br />Emergency Response Plan <br />ADDENDUM 1 -Notice Requirements (sample enclosed) TH I S <br />UN FILE <br />D.M,G. <br />NV CHANGE <br />DOCUMENT <br />