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<br />BELVEAL GRAVEL PIT <br />- 2 - <br />6_ Name of owner of the subsurface rights of affected land: Robert T.. Belveal <br />7. Name of owner of the surface of affected land: Rob T.. B 1v al <br />~7.1 Names of the holders of any recorded easements on the affected land: Nnne <br />8_ T e of miaina operation: XX Surface Underground In-situ <br />9. Location information: The center of the area where the majority of mining will occur: <br />COUNTY: Elbert <br />PRINCIPAL MERIDIAN (check one): ~ 6th (Colorado) 10th (New Mexico) Ute <br />SECTION (write number): S 6 <br />TOWNSHIP (write number and check direction): T North 135 South <br />RANGE (write number and check direction): R East 58 West <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 direction from the nearest town and the <br />approximate elevation): 'i'F+e Town of Mah recon 3 ilec r A 7 'l rh <br />10. Primary future (Post-m++++nal land use (check oael: <br />Cropland(CR) Pastureland(PL) General Agriculture(GA) <br />?~_ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />_ Residential(RS) Recreation(RC) Industrial/Commercial(IC) <br />_ Developed Water Resources(WR) Solid Waste Disposal(WD) <br />11. Pr~+~ present land use (check one): <br />Cropland(CR) Pastureland(PL) General Agriculture (GA) <br />~ Rangeland(RL) Forestry(FR) Wildlife Habitat(WL) <br />_ Residential(RS) Recreation(RC) Industrial/COmmercial(IC) <br />Developed Water Resources (WR) Mining (MN) <br />12. If this operation will use designated chemicals, or will result, or presently has acid <br />mine drainage - you cannot use this application form. You must submit either a 110d or <br />112d application form for Designated Mining Operations. In either case, you must list <br />any acidic or toxic-forming materials, exposed or disturbed as a result of the mining <br />operation, and whether the operation will result in or presently has acid mine drainage: <br />u~~ <br />13. Description of Amendment or Conversion: <br />If you are amending or converting an existing operation, provide a brief narrative describing <br />the proposed change(s): <br />~'/ <br />