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-2- <br />(, )_iatne of owner of the enhaurfaee finhfa of af[eMed land: ,7 a -~- ~ - ~ n as ba r a C k a r lc <br />Jack, Jr. and Barbara Clark <br />7. ~Tanxe of owner of the eorfece of affected land: <br />g, ~p~of mining etteratlon: x -3tttfeae Underground In-situ <br />9, I .~eation lnformatbn: The cen6er of the area whore the majority of mining will occur: <br />COUNTY: Gan T.tiP n <br />PRINCIPAL NffiRIDL4SI (check one): 6th (Colorado) ,~(_ 10th (New Me:dco) Ute <br />SECTION (write number): S ? 1-_ <br />TOWNSHIP (write nwmber end check duection): T _q~_ _v_ Narth South <br />RANGE (write number end check direction): R ~_ Ease ____X_ west <br />QUARTER SECTION (check one): NE NW SE _,g_ SW <br />QUARTER/QUARTER SECTION (check one): NE _~ NW SE SW <br />GENERAL DESCRII'TION: (the munbar of miles and direction from lice nearest town and the approximate elevation): <br />3.5 miles northeast of Silverton, CO. 9720' <br />10. Prlmarv future IPost•mininel land use (check on el: <br />_ Cropland(CR) _ Paslureland(PL) _ General Agriculttae(GA) <br />„~, Rangeland(Rl.) _ Forestry(FR) _ Wildlife Habitat(WL) <br />_ Residential(RS) _ Recreation(RC) - IndustrieUCovnnercis](IC) <br />- Developed WaterResources(WR) _ Solid Waste Diaposal(WD) <br />I I. Primary nreeent lend ass (check ooe1: <br />Cropland(CR) ~ Pavtureland(PL) - General Agrictdttue(GA) <br />~ Rangeland(RL) _ Forestry(FR) _. WildlifeHabitat(WL) <br />_ Residential(RS) ~ Recreadon(RC) _ IndustriaUCommercial(IC) <br />_ ~veleped bVater Rosorucea (WR) _ Mining (I~ <br />12. If this opeaation will use designatod chemicals, or will result, or presently has acid mine drainage - you Sann t use this application <br />form Xou moat submit either a 110d or 112d application form. for Deaigaated Mining Operations. 1n either case, you must lief auy <br />acidic ortoxic-forming materials, exposed or dietuxbed as a result of the mining operation, and whether the operationwill reach in or <br />presently has acid mme drainage: <br />~[n rhomi ~a la ~ap~OY l]~C t)OSP(~~dt this 91t0 <br />13. bgs,~ln qlt of Amendment or Converelen: <br />if you are amending or converting en existing operation, provide a brief narrative deacn'bing the proposed change(s): <br />